Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $812.83 / $1,096.48	Professional		$676.08	$812.83	$1,096.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,230.27 / $2,089.30	Facility		$1,174.90	$1,230.27	$2,089.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $1,905.46	Professional		$1,548.82	$1,905.46	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,148.15 / $2,630.27	Facility		$812.83	$1,148.15	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,174.90 / $1,445.44	Professional		$1,148.15	$1,174.90	$1,445.44
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,089.30	Facility		$1,862.09	$1,862.09	$2,089.30
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $676.08 / $4,897.79	Facility		$100.00	$676.08	$4,897.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $537.03 / $1,148.15	Professional		$338.84	$537.03	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $501.19 / $794.33	Facility		$60.26	$501.19	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $741.31 / $1,412.54	Professional		$338.84	$741.31	$1,412.54