Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $705.86 / $873.03 / $873.03	Facility		$705.86	$873.03	$873.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $705.86 / $889.88 / $1,380.59	Professional		$705.86	$889.88	$1,380.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,981.98 / $4,152.59 / $6,973.94	Facility		$1,981.98	$4,152.59	$6,973.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,309.90 / $2,116.90 / $3,044.19	Professional		$1,309.90	$2,116.90	$3,044.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,129.83 / $3,021.92 / $7,269.64	Facility		$2,129.83	$3,021.92	$7,269.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,438.39 / $2,359.16 / $3,753.67	Professional		$1,438.39	$2,359.16	$3,753.67
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,936.21 / $2,762.76 / $5,724.13	Facility		$1,936.21	$2,762.76	$5,724.13
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,341.45 / $2,132.07 / $3,422.78	Professional		$1,341.45	$2,132.07	$3,422.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $873.03 / $1,434.36 / $2,370.15	Facility		$873.03	$1,434.36	$2,370.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,027.80 / $1,871.52 / $5,296.88	Professional		$1,027.80	$1,871.52	$5,296.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,388.00 / $3,500.00 / $6,361.00	Facility		$1,388.00	$3,500.00	$6,361.00
United Facility/Professional Professional Modifier Low / Median / High Price $992.87 / $1,815.90 / $3,423.47	Professional		$992.87	$1,815.90	$3,423.47