Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $764.65 / $764.65 / $2,525.00	Facility		$764.65	$764.65	$2,525.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $744.49 / $778.79 / $1,206.42	Professional		$744.49	$778.79	$1,206.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,499.35 / $12,197.67 / $25,424.06	Facility		$3,499.35	$12,197.67	$25,424.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,356.06 / $2,172.73 / $2,835.09	Professional		$1,356.06	$2,172.73	$2,835.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.97 / $2,643.28 / $6,358.78	Facility		$1,862.97	$2,643.28	$6,358.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,398.85 / $2,228.33 / $3,309.41	Professional		$1,398.85	$2,228.33	$3,309.41
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,693.61 / $2,416.60 / $5,006.91	Facility		$1,693.61	$2,416.60	$5,006.91
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,266.47 / $1,992.28 / $3,034.92	Professional		$1,266.47	$1,992.28	$3,034.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $776.23 / $1,337.62 / $3,991.00	Facility		$776.23	$1,337.62	$3,991.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $815.18 / $1,478.20 / $3,013.56	Professional		$815.18	$1,478.20	$3,013.56
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 $815.18 / $1,449.57 / $2,911.93	Professional		$815.18	$1,449.57	$2,911.93