Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $753.83 / $753.83 / $753.83	Facility		$753.83	$753.83	$753.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.25 / $753.83 / $753.83	Professional		$396.25	$753.83	$753.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $770.97 / $899.99 / $1,253.22	Facility		$770.97	$899.99	$1,253.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $719.99 / $854.99 / $899.99	Professional		$719.99	$854.99	$899.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.20 / $2,776.73 / $7,712.14	Facility		$582.20	$2,776.73	$7,712.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,043.25 / $1,105.84 / $1,324.93	Professional		$1,043.25	$1,105.84	$1,324.93
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,648.51 / $2,664.14 / $6,072.55	Facility		$1,648.51	$2,664.14	$6,072.55
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,043.25 / $1,043.25 / $1,073.59	Professional		$1,043.25	$1,043.25	$1,073.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $286.29 / $899.99 / $4,473.42	Facility		$286.29	$899.99	$4,473.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $287.02 / $449.00 / $928.39	Professional		$287.02	$449.00	$928.39
United Facility/Professional Facility Modifier Low / Median / High Price $500.36 / $500.36 / $500.36	Facility		$500.36	$500.36	$500.36
United Facility/Professional Professional Modifier Low / Median / High Price $287.02 / $449.00 / $921.36	Professional		$287.02	$449.00	$921.36