Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $870.96 / $1,258.93	Professional		$676.08	$870.96	$1,258.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,380.38 / $1,995.26	Facility		$1,348.96	$1,380.38	$1,995.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $1,380.38	Professional		$1,096.48	$1,380.38	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,128.61 / $12,302.69	Facility		$2,884.03	$5,128.61	$12,302.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,819.70 / $2,041.74	Professional		$1,584.89	$1,819.70	$2,041.74
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $5,128.61 / $9,772.37	Facility		$3,981.07	$5,128.61	$9,772.37
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $2,187.76	Professional		$1,584.89	$1,584.89	$2,187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,380.38 / $2,818.38	Facility		$691.83	$1,380.38	$2,818.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $691.83 / $1,659.59	Professional		$457.09	$691.83	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $676.08 / $1,862.09	Facility		$10.96	$676.08	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $724.44 / $1,698.24	Professional		$457.09	$724.44	$1,698.24