Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.88 / $622.88 / $622.88	Facility		$622.88	$622.88	$622.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.16 / $622.88 / $726.51	Professional		$579.16	$622.88	$726.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,011.80 / $1,194.51 / $1,246.44	Facility		$1,011.80	$1,194.51	$1,246.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $816.34 / $1,013.17 / $1,090.59	Professional		$816.34	$1,013.17	$1,090.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,138.16 / $2,355.54 / $2,611.02	Facility		$2,138.16	$2,355.54	$2,611.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,203.75 / $1,275.98 / $1,528.76	Professional		$1,203.75	$1,275.98	$1,528.76
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,846.98 / $1,846.98 / $2,055.92	Facility		$1,846.98	$1,846.98	$2,055.92
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,203.75 / $1,203.75 / $1,203.75	Professional		$1,203.75	$1,203.75	$1,203.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.67 / $109.06 / $4,660.41	Facility		$64.67	$109.06	$4,660.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $291.45 / $465.37 / $949.73	Professional		$291.45	$465.37	$949.73
United Facility/Professional Professional Modifier Low / Median / High Price $291.45 / $488.98 / $994.61	Professional		$291.45	$488.98	$994.61