Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $578.91 / $578.91 / $4,828.00	Facility		$578.91	$578.91	$4,828.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.59 / $578.91 / $912.50	Professional		$529.59	$578.91	$912.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,669.94 / $12,197.67 / $25,424.06	Facility		$2,669.94	$12,197.67	$25,424.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,021.60 / $1,641.20 / $2,141.52	Professional		$1,021.60	$1,641.20	$2,141.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,408.38 / $1,998.29 / $4,807.16	Facility		$1,408.38	$1,998.29	$4,807.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,057.89 / $1,685.20 / $2,502.78	Professional		$1,057.89	$1,685.20	$2,502.78
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,280.34 / $1,826.92 / $3,785.16	Facility		$1,280.34	$1,826.92	$3,785.16
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $957.78 / $1,506.68 / $2,295.19	Professional		$957.78	$1,506.68	$2,295.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $587.19 / $991.60 / $5,577.00	Facility		$587.19	$991.60	$5,577.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $615.20 / $1,110.09 / $2,276.71	Professional		$615.20	$1,110.09	$2,276.71
United Facility/Professional Facility Modifier Low / Median / High Price $5,457.00 / $9,370.00 / $12,774.00	Facility		$5,457.00	$9,370.00	$12,774.00
United Facility/Professional Professional Modifier Low / Median / High Price $615.20 / $1,085.11 / $2,153.78	Professional		$615.20	$1,085.11	$2,153.78