Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.69 / $773.64 / $2,525.00	Facility		$655.69	$773.64	$2,525.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.69 / $773.64 / $1,210.68	Professional		$655.69	$773.64	$1,210.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,286.99 / $3,057.02 / $6,480.74	Facility		$1,286.99	$3,057.02	$6,480.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,129.69 / $1,690.37 / $2,767.39	Professional		$1,129.69	$1,690.37	$2,767.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,969.21 / $2,792.59 / $6,717.95	Facility		$1,969.21	$2,792.59	$6,717.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,298.30 / $2,185.23 / $3,475.12	Professional		$1,298.30	$2,185.23	$3,475.12
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,600.83 / $2,553.10 / $5,289.73	Facility		$1,600.83	$2,553.10	$5,289.73
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,206.58 / $1,957.14 / $3,188.72	Professional		$1,206.58	$1,957.14	$3,188.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $762.61 / $1,235.43 / $2,367.79	Facility		$762.61	$1,235.43	$2,367.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $913.00 / $1,575.10 / $5,163.35	Professional		$913.00	$1,575.10	$5,163.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,739.00 / $3,500.00 / $6,275.00	Facility		$2,739.00	$3,500.00	$6,275.00
United Facility/Professional Professional Modifier Low / Median / High Price $947.17 / $1,376.56 / $2,751.81	Professional		$947.17	$1,376.56	$2,751.81