Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $2,630.27	Facility		$616.60	$616.60	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $630.96 / $977.24	Professional		$549.54	$630.96	$977.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $8,128.31 / $23,442.29	Facility		$5,128.61	$8,128.31	$23,442.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $2,290.87	Professional		$1,000.00	$1,479.11	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,238.72 / $5,370.32	Facility		$1,584.89	$2,238.72	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $2,754.23	Professional		$1,096.48	$1,819.70	$2,754.23
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $4,265.80	Facility		$1,737.80	$2,187.76	$4,265.80
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $2,454.71	Professional		$1,174.90	$1,548.82	$2,454.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,202.26 / $6,918.31	Facility		$630.96	$1,202.26	$6,918.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,148.15 / $3,388.44	Professional		$575.44	$1,148.15	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,011.87 / $10,000.00	Facility		$2,818.38	$5,011.87	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,096.48 / $2,187.76	Professional		$602.56	$1,096.48	$2,187.76