Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $859.16 / $859.16 / $859.16	Facility		$859.16	$859.16	$859.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.36 / $859.16 / $859.16	Professional		$676.36	$859.16	$859.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.36 / $453.74 / $914.00	Facility		$189.36	$453.74	$914.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $731.20 / $914.00 / $914.00	Professional		$731.20	$914.00	$914.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,987.44 / $3,360.61 / $8,019.59	Facility		$1,987.44	$3,360.61	$8,019.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,060.76 / $1,333.83 / $1,774.02	Professional		$1,060.76	$1,333.83	$1,774.02
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,821.96 / $3,047.77 / $6,314.64	Facility		$1,821.96	$3,047.77	$6,314.64
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,050.26 / $1,050.26 / $1,660.07	Professional		$1,050.26	$1,050.26	$1,660.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $914.00 / $1,690.90 / $4,341.50	Facility		$914.00	$1,690.90	$4,341.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $383.88 / $755.15 / $2,096.62	Professional		$383.88	$755.15	$2,096.62
United Facility/Professional Professional Modifier Low / Median / High Price $383.88 / $548.40 / $1,946.51	Professional		$383.88	$548.40	$1,946.51