Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.41 / $707.41 / $707.41	Facility		$707.41	$707.41	$707.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.05 / $743.27 / $1,283.29	Professional		$690.05	$743.27	$1,283.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,178.08 / $3,144.69 / $6,087.06	Facility		$1,178.08	$3,144.69	$6,087.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,347.30 / $2,283.61 / $2,769.69	Professional		$1,347.30	$2,283.61	$2,769.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,649.22 / $2,574.01 / $6,192.12	Facility		$1,649.22	$2,574.01	$6,192.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,298.75 / $2,343.07 / $3,221.43	Professional		$1,298.75	$2,343.07	$3,221.43
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,429.20 / $2,348.94 / $4,875.68	Facility		$1,429.20	$2,348.94	$4,875.68
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,298.75 / $2,137.67 / $2,945.34	Professional		$1,298.75	$2,137.67	$2,945.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $721.95 / $1,263.40 / $2,246.05	Facility		$721.95	$1,263.40	$2,246.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $881.61 / $1,779.53 / $5,682.16	Professional		$881.61	$1,779.53	$5,682.16
United Facility/Professional Facility Modifier Low / Median / High Price $796.00 / $3,500.00 / $8,152.00	Facility		$796.00	$3,500.00	$8,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $823.93 / $1,615.73 / $3,037.71	Professional		$823.93	$1,615.73	$3,037.71