Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.04 / $873.04 / $4,828.00	Facility		$873.04	$873.04	$4,828.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $853.63 / $873.04 / $1,389.62	Professional		$853.63	$873.04	$1,389.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,615.70 / $4,844.72 / $10,098.06	Facility		$1,615.70	$4,844.72	$10,098.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,502.78 / $2,420.77 / $3,158.74	Professional		$1,502.78	$2,420.77	$3,158.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,009.45 / $2,851.12 / $6,858.75	Facility		$2,009.45	$2,851.12	$6,858.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,507.08 / $2,400.73 / $3,565.46	Professional		$1,507.08	$2,400.73	$3,565.46
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,826.77 / $2,606.60 / $5,400.59	Facility		$1,826.77	$2,606.60	$5,400.59
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,364.46 / $2,146.42 / $3,269.74	Professional		$1,364.46	$2,146.42	$3,269.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.65 / $1,441.28 / $2,568.26	Facility		$912.65	$1,441.28	$2,568.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $953.47 / $1,724.00 / $3,502.85	Professional		$953.47	$1,724.00	$3,502.85
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 $953.47 / $1,730.32 / $3,378.81	Professional		$953.47	$1,730.32	$3,378.81