Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $894.60 / $894.60 / $894.60	Facility		$894.60	$894.60	$894.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $865.30 / $894.60 / $1,276.98	Professional		$865.30	$894.60	$1,276.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,453.30 / $1,566.40 / $1,672.06	Facility		$1,453.30	$1,566.40	$1,672.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,164.15 / $1,455.19 / $1,566.40	Professional		$1,164.15	$1,455.19	$1,566.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,037.00 / $3,069.29 / $3,748.07	Facility		$1,037.00	$3,069.29	$3,748.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,728.75 / $1,780.61 / $2,195.51	Professional		$1,728.75	$1,780.61	$2,195.51
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,651.31 / $2,651.31 / $2,951.24	Facility		$2,651.31	$2,651.31	$2,951.24
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,728.75 / $1,728.75 / $1,728.75	Professional		$1,728.75	$1,728.75	$1,728.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $143.62 / $480.56 / $7,874.71	Facility		$143.62	$480.56	$7,874.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $492.41 / $786.22 / $1,604.97	Professional		$492.41	$786.22	$1,604.97
United Facility/Professional Professional Modifier Low / Median / High Price $492.41 / $824.78 / $1,899.61	Professional		$492.41	$824.78	$1,899.61