Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $716.95 / $716.95 / $4,828.00	Facility		$716.95	$716.95	$4,828.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.95 / $729.74 / $1,134.07	Professional		$698.95	$729.74	$1,134.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,362.69 / $12,197.67 / $25,424.06	Facility		$3,362.69	$12,197.67	$25,424.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,268.23 / $2,033.47 / $2,661.09	Professional		$1,268.23	$2,033.47	$2,661.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,743.43 / $2,473.67 / $5,950.76	Facility		$1,743.43	$2,473.67	$5,950.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,308.76 / $2,084.82 / $3,096.28	Professional		$1,308.76	$2,084.82	$3,096.28
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,584.94 / $2,261.53 / $4,685.64	Facility		$1,584.94	$2,261.53	$4,685.64
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,184.91 / $1,863.97 / $2,839.47	Professional		$1,184.91	$1,863.97	$2,839.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $740.59 / $1,228.18 / $5,577.00	Facility		$740.59	$1,228.18	$5,577.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $770.21 / $1,394.84 / $2,840.17	Professional		$770.21	$1,394.84	$2,840.17
United Facility/Professional Facility Modifier Low / Median / High Price $4,591.00 / $8,467.00 / $12,722.00	Facility		$4,591.00	$8,467.00	$12,722.00
United Facility/Professional Professional Modifier Low / Median / High Price $770.21 / $1,394.84 / $2,802.94	Professional		$770.21	$1,394.84	$2,802.94