Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $821.37 / $821.37 / $2,525.00	Facility		$821.37	$821.37	$2,525.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $734.37 / $821.37 / $1,290.74	Professional		$734.37	$821.37	$1,290.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,741.40 / $12,446.06 / $25,424.06	Facility		$3,741.40	$12,446.06	$25,424.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,450.93 / $2,317.98 / $3,033.42	Professional		$1,450.93	$2,317.98	$3,033.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,002.71 / $2,841.56 / $6,835.76	Facility		$2,002.71	$2,841.56	$6,835.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,503.32 / $2,394.76 / $3,556.58	Professional		$1,503.32	$2,394.76	$3,556.58
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,820.65 / $2,597.87 / $5,382.49	Facility		$1,820.65	$2,597.87	$5,382.49
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,361.06 / $2,141.07 / $3,261.59	Professional		$1,361.06	$2,141.07	$3,261.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $790.20 / $1,406.72 / $3,312.00	Facility		$790.20	$1,406.72	$3,312.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $869.37 / $1,580.68 / $3,222.35	Professional		$869.37	$1,580.68	$3,222.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,412.00 / $4,746.00 / $8,812.00	Facility		$2,412.00	$4,746.00	$8,812.00
United Facility/Professional Professional Modifier Low / Median / High Price $868.34 / $1,545.11 / $3,160.05	Professional		$868.34	$1,545.11	$3,160.05