Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.99 / $864.99 / $864.99	Facility		$864.99	$864.99	$864.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.64 / $864.99 / $1,234.71	Professional		$836.64	$864.99	$1,234.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,405.10 / $1,514.60 / $1,616.61	Facility		$1,405.10	$1,514.60	$1,616.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,125.65 / $1,407.06 / $1,514.60	Professional		$1,125.65	$1,407.06	$1,514.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $1,042.44 / $3,621.74	Facility		$850.00	$1,042.44	$3,621.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,672.50 / $1,739.40 / $2,124.08	Professional		$1,672.50	$1,739.40	$2,124.08
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,561.94 / $2,561.94 / $2,851.76	Facility		$2,561.94	$2,561.94	$2,851.76
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,672.50 / $1,672.50 / $1,672.50	Professional		$1,672.50	$1,672.50	$1,672.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $139.85 / $464.63 / $7,614.56	Facility		$139.85	$464.63	$7,614.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $476.10 / $760.17 / $1,551.90	Professional		$476.10	$760.17	$1,551.90
United Facility/Professional Professional Modifier Low / Median / High Price $476.10 / $798.97 / $2,231.21	Professional		$476.10	$798.97	$2,231.21