Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.24 / $769.24 / $6,575.00	Facility		$769.24	$769.24	$6,575.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.30 / $779.17 / $5,574.40	Professional		$707.30	$779.17	$5,574.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,547.44 / $12,197.67 / $25,424.06	Facility		$3,547.44	$12,197.67	$25,424.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,356.76 / $2,179.25 / $2,843.61	Professional		$1,356.76	$2,179.25	$2,843.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,869.70 / $2,652.84 / $6,381.77	Facility		$1,869.70	$2,652.84	$6,381.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,405.10 / $2,238.29 / $3,324.21	Professional		$1,405.10	$2,238.29	$3,324.21
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,699.73 / $2,425.33 / $5,025.01	Facility		$1,699.73	$2,425.33	$5,025.01
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,272.13 / $2,001.19 / $3,048.50	Professional		$1,272.13	$2,001.19	$3,048.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $834.49 / $1,343.93 / $7,872.00	Facility		$834.49	$1,343.93	$7,872.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $827.43 / $1,510.29 / $3,050.33	Professional		$827.43	$1,510.29	$3,050.33
United Facility/Professional Facility Modifier Low / Median / High Price $3,940.00 / $7,872.00 / $11,531.00	Facility		$3,940.00	$7,872.00	$11,531.00
United Facility/Professional Professional Modifier Low / Median / High Price $827.43 / $1,429.20 / $2,915.11	Professional		$827.43	$1,429.20	$2,915.11