Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $628.80 / $628.80 / $628.80	Facility		$628.80	$628.80	$628.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.66 / $677.23 / $1,138.28	Professional		$616.66	$677.23	$1,138.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.40 / $6,273.82 / $12,790.57	Facility		$3,204.40	$6,273.82	$12,790.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,198.59 / $2,027.30 / $2,458.82	Professional		$1,198.59	$2,027.30	$2,458.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,468.61 / $2,292.12 / $5,514.01	Facility		$1,468.61	$2,292.12	$5,514.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,160.57 / $2,090.40 / $2,874.05	Professional		$1,160.57	$2,090.40	$2,874.05
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,272.68 / $2,091.71 / $4,341.74	Facility		$1,272.68	$2,091.71	$4,341.74
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,158.70 / $1,907.15 / $2,627.73	Professional		$1,158.70	$1,907.15	$2,627.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $675.85 / $1,127.20 / $2,003.90	Facility		$675.85	$1,127.20	$2,003.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $777.33 / $1,572.41 / $9,818.02	Professional		$777.33	$1,572.41	$9,818.02
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 $738.65 / $1,424.63 / $2,684.14	Professional		$738.65	$1,424.63	$2,684.14