Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $677.52 / $677.52 / $677.52	Facility		$677.52	$677.52	$677.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $677.52 / $716.51 / $1,043.08	Professional		$677.52	$716.51	$1,043.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,096.28 / $6,209.09 / $12,888.48	Facility		$3,096.28	$6,209.09	$12,888.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,201.35 / $1,851.99 / $2,598.57	Professional		$1,201.35	$1,851.99	$2,598.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,722.43 / $2,442.62 / $5,876.05	Facility		$1,722.43	$2,442.62	$5,876.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,400.39 / $2,354.98 / $3,359.72	Professional		$1,400.39	$2,354.98	$3,359.72
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,400.21 / $2,233.14 / $4,626.81	Facility		$1,400.21	$2,233.14	$4,626.81
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,232.91 / $2,109.88 / $2,796.04	Professional		$1,232.91	$2,109.88	$2,796.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $934.66 / $1,432.67 / $4,746.00	Facility		$934.66	$1,432.67	$4,746.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $930.57 / $1,857.93 / $3,729.96	Professional		$930.57	$1,857.93	$3,729.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,735.00 / $4,974.00 / $8,812.00	Facility		$2,735.00	$4,974.00	$8,812.00
United Facility/Professional Professional Modifier Low / Median / High Price $930.57 / $1,857.93 / $2,864.68	Professional		$930.57	$1,857.93	$2,864.68