Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $757.12 / $757.12 / $6,575.00	Facility		$757.12	$757.12	$6,575.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $740.71 / $757.12 / $1,200.83	Professional		$740.71	$757.12	$1,200.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.39 / $6,104.61 / $11,903.07	Facility		$3,204.39	$6,104.61	$11,903.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,323.47 / $2,114.37 / $2,667.63	Professional		$1,323.47	$2,114.37	$2,667.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,836.03 / $2,605.06 / $6,266.83	Facility		$1,836.03	$2,605.06	$6,266.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,370.69 / $2,183.48 / $3,242.81	Professional		$1,370.69	$2,183.48	$3,242.81
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,669.12 / $2,381.65 / $4,934.51	Facility		$1,669.12	$2,381.65	$4,934.51
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,240.98 / $1,958.59 / $2,973.84	Professional		$1,240.98	$1,958.59	$2,973.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $807.78 / $1,311.30 / $4,273.00	Facility		$807.78	$1,311.30	$4,273.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $846.77 / $1,525.97 / $2,961.91	Professional		$846.77	$1,525.97	$2,961.91
United Facility/Professional Facility Modifier Low / Median / High Price $3,940.00 / $7,872.00 / $11,531.00	Facility		$3,940.00	$7,872.00	$11,531.00
United Facility/Professional Professional Modifier Low / Median / High Price $846.77 / $1,509.56 / $2,885.44	Professional		$846.77	$1,509.56	$2,885.44