Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.86 / $563.48 / $3,346.46	Facility		$367.86	$563.48	$3,346.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.86 / $563.48 / $867.87	Professional		$367.86	$563.48	$867.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $716.37 / $4,844.72 / $10,098.06	Facility		$716.37	$4,844.72	$10,098.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $766.82 / $1,367.42 / $2,190.17	Professional		$766.82	$1,367.42	$2,190.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,542.23 / $2,188.19 / $5,264.02	Facility		$1,542.23	$2,188.19	$5,264.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $873.65 / $1,493.85 / $2,627.14	Professional		$873.65	$1,493.85	$2,627.14
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,356.05 / $1,996.88 / $4,144.89	Facility		$1,356.05	$1,996.88	$4,144.89
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $850.19 / $1,343.57 / $2,395.55	Professional		$850.19	$1,343.57	$2,395.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $384.58 / $826.85 / $1,657.59	Facility		$384.58	$826.85	$1,657.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $602.29 / $1,114.65 / $2,997.36	Professional		$602.29	$1,114.65	$2,997.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,388.00 / $3,500.00 / $6,361.00	Facility		$1,388.00	$3,500.00	$6,361.00
United Facility/Professional Professional Modifier Low / Median / High Price $625.25 / $1,114.65 / $2,130.60	Professional		$625.25	$1,114.65	$2,130.60