Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.91 / $523.91 / $4,828.00	Facility		$523.91	$523.91	$4,828.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.87 / $534.54 / $822.59	Professional		$508.87	$534.54	$822.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.76 / $5,167.10 / $11,688.59	Facility		$2,088.76	$5,167.10	$11,688.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $924.55 / $1,484.54 / $1,937.11	Professional		$924.55	$1,484.54	$1,937.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,280.42 / $1,816.74 / $4,370.39	Facility		$1,280.42	$1,816.74	$4,370.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $962.80 / $1,533.72 / $2,277.81	Professional		$962.80	$1,533.72	$2,277.81
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,164.02 / $1,660.93 / $3,441.26	Facility		$1,164.02	$1,660.93	$3,441.26
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $871.69 / $1,371.25 / $2,088.88	Professional		$871.69	$1,371.25	$2,088.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $497.82 / $896.08 / $3,312.00	Facility		$497.82	$896.08	$3,312.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $550.15 / $948.37 / $2,041.71	Professional		$550.15	$948.37	$2,041.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,412.00 / $4,746.00 / $8,812.00	Facility		$2,412.00	$4,746.00	$8,812.00
United Facility/Professional Professional Modifier Low / Median / High Price $550.15 / $1,047.43 / $2,002.11	Professional		$550.15	$1,047.43	$2,002.11