Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $865.91 / $865.91 / $6,575.00	Facility		$865.91	$865.91	$6,575.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $848.82 / $865.91 / $1,350.49	Professional		$848.82	$865.91	$1,350.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,687.28 / $5,792.97 / $11,491.08	Facility		$3,687.28	$5,792.97	$11,491.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,433.95 / $1,980.42 / $3,175.58	Professional		$1,433.95	$1,980.42	$3,175.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,181.46 / $3,093.59 / $7,442.04	Facility		$2,181.46	$3,093.59	$7,442.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,504.30 / $2,585.44 / $3,879.08	Professional		$1,504.30	$2,585.44	$3,879.08
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,773.37 / $2,828.28 / $5,859.88	Facility		$1,773.37	$2,828.28	$5,859.88
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,480.00 / $2,230.19 / $3,546.62	Professional		$1,480.00	$2,230.19	$3,546.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $965.27 / $1,479.03 / $4,974.00	Facility		$965.27	$1,479.03	$4,974.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,020.25 / $1,626.82 / $3,560.49	Professional		$1,020.25	$1,626.82	$3,560.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,735.00 / $4,974.00 / $8,812.00	Facility		$2,735.00	$4,974.00	$8,812.00
United Facility/Professional Professional Modifier Low / Median / High Price $963.07 / $1,455.57 / $3,344.55	Professional		$963.07	$1,455.57	$3,344.55