Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.15 / $615.15 / $615.15	Facility		$615.15	$615.15	$615.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.08 / $645.66 / $1,101.47	Professional		$561.08	$645.66	$1,101.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,527.12 / $3,257.11 / $5,595.02	Facility		$1,527.12	$3,257.11	$5,595.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,158.31 / $1,954.76 / $2,370.84	Professional		$1,158.31	$1,954.76	$2,370.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,434.94 / $2,239.57 / $5,387.58	Facility		$1,434.94	$2,239.57	$5,387.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,135.34 / $2,048.29 / $2,816.16	Professional		$1,135.34	$2,048.29	$2,816.16
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,243.50 / $2,043.75 / $4,242.18	Facility		$1,243.50	$2,043.75	$4,242.18
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,135.34 / $1,868.73 / $2,574.80	Professional		$1,135.34	$1,868.73	$2,574.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $649.84 / $1,121.69 / $1,963.52	Facility		$649.84	$1,121.69	$1,963.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $728.70 / $1,513.31 / $4,878.32	Professional		$728.70	$1,513.31	$4,878.32
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 $679.57 / $1,318.72 / $2,592.87	Professional		$679.57	$1,318.72	$2,592.87