Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $591.20 / $735.12 / $6,575.00	Facility		$591.20	$735.12	$6,575.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.16 / $735.12 / $1,136.96	Professional		$579.16	$735.12	$1,136.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,846.93 / $6,631.62 / $13,546.10	Facility		$2,846.93	$6,631.62	$13,546.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,131.78 / $1,798.06 / $2,669.98	Professional		$1,131.78	$1,798.06	$2,669.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,851.30 / $2,625.37 / $6,315.68	Facility		$1,851.30	$2,625.37	$6,315.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,315.98 / $2,285.38 / $3,240.12	Professional		$1,315.98	$2,285.38	$3,240.12
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,504.97 / $2,400.21 / $4,972.97	Facility		$1,504.97	$2,400.21	$4,972.97
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,191.73 / $1,870.01 / $2,989.94	Professional		$1,191.73	$1,870.01	$2,989.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $705.83 / $1,245.24 / $5,499.00	Facility		$705.83	$1,245.24	$5,499.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $957.52 / $2,092.98 / $4,558.64	Professional		$957.52	$2,092.98	$4,558.64
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 $992.48 / $1,873.86 / $3,031.30	Professional		$992.48	$1,873.86	$3,031.30