Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.00 / $635.24 / $2,525.00	Facility		$305.00	$635.24	$2,525.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.00 / $580.32 / $1,718.05	Professional		$305.00	$580.32	$1,718.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.29 / $1,166.50 / $2,231.94	Facility		$616.29	$1,166.50	$2,231.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $540.28 / $1,054.34 / $2,000.80	Professional		$540.28	$1,054.34	$2,000.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,611.26 / $2,286.15 / $5,499.64	Facility		$1,611.26	$2,286.15	$5,499.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.65 / $1,322.20 / $2,751.85	Professional		$650.65	$1,322.20	$2,751.85
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,269.35 / $2,090.09 / $4,330.43	Facility		$1,269.35	$2,090.09	$4,330.43
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $637.04 / $1,148.75 / $2,201.48	Professional		$637.04	$1,148.75	$2,201.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $371.63 / $773.23 / $1,484.59	Facility		$371.63	$773.23	$1,484.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $783.93 / $1,326.76 / $2,418.02	Professional		$783.93	$1,326.76	$2,418.02
United Facility/Professional Facility Modifier Low / Median / High Price $563.00 / $1,749.00 / $2,883.00	Facility		$563.00	$1,749.00	$2,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $701.07 / $1,083.48 / $2,388.96	Professional		$701.07	$1,083.48	$2,388.96