Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $13,489.63	Facility		$891.25	$891.25	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $891.25 / $1,380.38	Professional		$776.25	$891.25	$1,380.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $12,882.50 / $26,915.35	Facility		$5,370.32	$12,882.50	$26,915.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $3,090.30	Professional		$1,380.38	$2,041.74	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,162.28 / $7,585.78	Facility		$2,238.72	$3,162.28	$7,585.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,570.40 / $3,890.45	Professional		$1,548.82	$2,570.40	$3,890.45
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,090.30 / $6,025.60	Facility		$2,454.71	$3,090.30	$6,025.60
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $3,467.37	Professional		$1,659.59	$2,187.76	$3,467.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,778.28 / $9,772.37	Facility		$891.25	$1,778.28	$9,772.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,584.89 / $4,897.79	Professional		$851.14	$1,584.89	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $7,943.28 / $12,589.25	Facility		$4,168.69	$7,943.28	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,548.82 / $3,162.28	Professional		$851.14	$1,548.82	$3,162.28