Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $741.31 / $891.25	Professional		$724.44	$741.31	$891.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,412.54 / $1,479.11	Facility		$933.25	$1,412.54	$1,479.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $933.25 / $933.25	Professional		$741.31	$933.25	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,398.83 / $3,311.31	Facility		$1,174.90	$2,398.83	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $912.01 / $1,047.13	Professional		$831.76	$912.01	$1,047.13
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,511.89 / $3,090.30	Facility		$1,288.25	$2,511.89	$3,090.30
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $891.25	Professional		$831.76	$831.76	$891.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $912.01 / $912.01	Facility		$724.44	$912.01	$912.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $3,388.44	Professional		$1,995.26	$1,995.26	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,754.23	Professional		$1,995.26	$1,995.26	$2,754.23