Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.75 / $509.25 / $2,525.00	Facility		$458.75	$509.25	$2,525.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.02 / $491.10 / $714.90	Professional		$421.02	$491.10	$714.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,269.41 / $3,046.07 / $5,941.90	Facility		$1,269.41	$3,046.07	$5,941.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $845.39 / $1,337.49 / $1,797.19	Professional		$845.39	$1,337.49	$1,797.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,251.80 / $1,776.12 / $4,272.71	Facility		$1,251.80	$1,776.12	$4,272.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.03 / $1,451.15 / $2,196.66	Professional		$870.03	$1,451.15	$2,196.66
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,138.00 / $1,623.80 / $3,364.34	Facility		$1,138.00	$1,623.80	$3,364.34
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $851.30 / $1,277.84 / $1,971.80	Professional		$851.30	$1,277.84	$1,971.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $458.75 / $810.30 / $1,397.94	Facility		$458.75	$810.30	$1,397.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $516.32 / $983.01 / $3,386.88	Professional		$516.32	$983.01	$3,386.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,187.00 / $2,872.00 / $4,241.00	Facility		$1,187.00	$2,872.00	$4,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $526.34 / $937.62 / $1,896.84	Professional		$526.34	$937.62	$1,896.84