Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.61 / $638.61 / $2,525.00	Facility		$638.61	$638.61	$2,525.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $620.91 / $649.65 / $1,004.72	Professional		$620.91	$649.65	$1,004.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,937.26 / $12,197.67 / $25,424.06	Facility		$2,937.26	$12,197.67	$25,424.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,129.08 / $1,803.81 / $2,360.54	Professional		$1,129.08	$1,803.81	$2,360.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,555.70 / $2,207.32 / $5,310.00	Facility		$1,555.70	$2,207.32	$5,310.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,168.61 / $1,861.59 / $2,764.75	Professional		$1,168.61	$1,861.59	$2,764.75
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,414.27 / $2,018.02 / $4,181.10	Facility		$1,414.27	$2,018.02	$4,181.10
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,058.04 / $1,664.39 / $2,535.44	Professional		$1,058.04	$1,664.39	$2,535.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $694.85 / $1,177.42 / $3,293.00	Facility		$694.85	$1,177.42	$3,293.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.16 / $1,231.04 / $2,503.19	Professional		$676.16	$1,231.04	$2,503.19
United Facility/Professional Facility Modifier Low / Median / High Price $3,121.00 / $5,499.00 / $9,810.00	Facility		$3,121.00	$5,499.00	$9,810.00
United Facility/Professional Professional Modifier Low / Median / High Price $676.16 / $1,287.33 / $2,460.67	Professional		$676.16	$1,287.33	$2,460.67