Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.79 / $649.79 / $4,828.00	Facility		$649.79	$649.79	$4,828.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.60 / $649.79 / $1,013.38	Professional		$627.60	$649.79	$1,013.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,367.60 / $5,762.11 / $12,749.70	Facility		$1,367.60	$5,762.11	$12,749.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,075.46 / $1,485.87 / $2,382.57	Professional		$1,075.46	$1,485.87	$2,382.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,646.63 / $2,335.12 / $5,617.45	Facility		$1,646.63	$2,335.12	$5,617.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,132.98 / $1,947.25 / $2,921.56	Professional		$1,132.98	$1,947.25	$2,921.56
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,338.59 / $2,134.86 / $4,423.18	Facility		$1,338.59	$2,134.86	$4,423.18
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,114.68 / $1,679.69 / $2,671.17	Professional		$1,114.68	$1,679.69	$2,671.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $719.71 / $1,118.13 / $6,652.00	Facility		$719.71	$1,118.13	$6,652.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $756.26 / $1,252.50 / $2,658.22	Professional		$756.26	$1,252.50	$2,658.22
United Facility/Professional Facility Modifier Low / Median / High Price $3,293.00 / $6,652.00 / $9,810.00	Facility		$3,293.00	$6,652.00	$9,810.00
United Facility/Professional Professional Modifier Low / Median / High Price $756.26 / $1,168.77 / $2,509.41	Professional		$756.26	$1,168.77	$2,509.41