Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $626.25 / $626.25 / $6,781.00	Facility		$626.25	$626.25	$6,781.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $609.37 / $638.16 / $986.83	Professional		$609.37	$638.16	$986.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,873.69 / $12,197.67 / $25,424.06	Facility		$2,873.69	$12,197.67	$25,424.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,106.68 / $1,778.28 / $2,320.39	Professional		$1,106.68	$1,778.28	$2,320.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,526.24 / $2,165.51 / $5,209.43	Facility		$1,526.24	$2,165.51	$5,209.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,147.34 / $1,827.71 / $2,714.43	Professional		$1,147.34	$1,827.71	$2,714.43
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,387.49 / $1,979.80 / $4,101.91	Facility		$1,387.49	$1,979.80	$4,101.91
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,038.78 / $1,634.09 / $2,489.29	Professional		$1,038.78	$1,634.09	$2,489.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $634.64 / $1,074.40 / $3,545.22	Facility		$634.64	$1,074.40	$3,545.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $666.87 / $1,219.54 / $2,466.42	Professional		$666.87	$1,219.54	$2,466.42
United Facility/Professional Facility Modifier Low / Median / High Price $3,121.00 / $5,499.00 / $9,810.00	Facility		$3,121.00	$5,499.00	$9,810.00
United Facility/Professional Professional Modifier Low / Median / High Price $663.65 / $1,203.16 / $2,363.19	Professional		$663.65	$1,203.16	$2,363.19