Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $793.34 / $793.34 / $4,828.00	Facility		$793.34	$793.34	$4,828.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $793.34 / $837.22 / $1,380.34	Professional		$793.34	$837.22	$1,380.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,838.07 / $6,563.86 / $12,629.62	Facility		$3,838.07	$6,563.86	$12,629.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,372.94 / $2,193.40 / $2,870.37	Professional		$1,372.94	$2,193.40	$2,870.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,932.00 / $2,741.23 / $6,594.40	Facility		$1,932.00	$2,741.23	$6,594.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,470.16 / $2,341.94 / $3,478.14	Professional		$1,470.16	$2,341.94	$3,478.14
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,756.36 / $2,506.14 / $5,192.43	Facility		$1,756.36	$2,506.14	$5,192.43
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,331.04 / $2,093.85 / $3,189.66	Professional		$1,331.04	$2,093.85	$3,189.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $887.22 / $1,405.85 / $4,424.10	Facility		$887.22	$1,405.85	$4,424.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $943.64 / $1,682.24 / $3,361.26	Professional		$943.64	$1,682.24	$3,361.26
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 $895.05 / $1,629.95 / $3,215.52	Professional		$895.05	$1,629.95	$3,215.52