Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $831.76 / $1,479.11	Professional		$707.95	$831.76	$1,479.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,388.44 / $7,079.46	Facility		$1,479.11	$3,388.44	$7,079.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,949.84 / $2,818.38	Professional		$1,258.93	$1,949.84	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,691.53 / $6,456.54	Facility		$1,698.24	$2,691.53	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,089.30 / $3,235.94	Professional		$1,230.27	$2,089.30	$3,235.94
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,630.27 / $5,128.61	Facility		$2,089.30	$2,630.27	$5,128.61
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,862.09 / $2,951.21	Professional		$1,288.25	$1,862.09	$2,951.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,096.48 / $2,238.72	Facility		$707.95	$1,096.48	$2,238.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,445.44 / $5,623.41	Professional		$776.25	$1,445.44	$5,623.41
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,311.31 / $8,511.38	Facility		$794.33	$3,311.31	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,348.96 / $2,630.27	Professional		$758.58	$1,348.96	$2,630.27