Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.63 / $851.63 / $851.63	Facility		$851.63	$851.63	$851.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $700.20 / $851.63 / $1,033.29	Professional		$700.20	$851.63	$1,033.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,383.50 / $1,491.20 / $1,591.75	Facility		$1,383.50	$1,491.20	$1,591.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,108.26 / $1,385.32 / $1,491.20	Professional		$1,108.26	$1,385.32	$1,491.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $719.00 / $999.36 / $3,571.20	Facility		$719.00	$999.36	$3,571.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,646.25 / $1,662.71 / $2,090.73	Professional		$1,646.25	$1,662.71	$2,090.73
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,526.19 / $2,526.19 / $2,811.97	Facility		$2,526.19	$2,526.19	$2,811.97
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,646.25 / $1,646.25 / $1,646.25	Professional		$1,646.25	$1,646.25	$1,646.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.72 / $388.85 / $6,372.01	Facility		$120.72	$388.85	$6,372.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.43 / $636.16 / $1,298.77	Professional		$398.43	$636.16	$1,298.77
United Facility/Professional Professional Modifier Low / Median / High Price $398.43 / $667.37 / $1,551.67	Professional		$398.43	$667.37	$1,551.67