Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.25 / $656.25 / $6,955.00	Facility		$656.25	$656.25	$6,955.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.25 / $656.25 / $656.25	Professional		$656.25	$656.25	$656.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.01 / $5,643.61 / $12,749.70	Facility		$851.01	$5,643.61	$12,749.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.10 / $265.13 / $265.13	Professional		$212.10	$265.13	$265.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,383.84 / $1,962.46 / $4,720.96	Facility		$1,383.84	$1,962.46	$4,720.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,058.08 / $1,705.18 / $2,636.22	Professional		$1,058.08	$1,705.18	$2,636.22
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,124.96 / $1,794.16 / $3,717.29	Facility		$1,124.96	$1,794.16	$3,717.29
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $930.60 / $1,402.30 / $2,230.04	Professional		$930.60	$1,402.30	$2,230.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $656.25 / $5,499.00 / $10,017.00	Facility		$656.25	$5,499.00	$10,017.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,840.00 / $3,840.00 / $3,840.00	Professional		$3,840.00	$3,840.00	$3,840.00
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