Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $607.63 / $607.63 / $4,828.00	Facility		$607.63	$607.63	$4,828.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $591.47 / $618.24 / $958.28	Professional		$591.47	$618.24	$958.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,829.68 / $12,197.67 / $25,424.06	Facility		$2,829.68	$12,197.67	$25,424.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,065.10 / $1,719.20 / $2,249.81	Professional		$1,065.10	$1,719.20	$2,249.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.10 / $2,098.62 / $5,048.52	Facility		$1,479.10	$2,098.62	$5,048.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,110.44 / $1,768.91 / $2,627.10	Professional		$1,110.44	$1,768.91	$2,627.10
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,344.63 / $1,918.64 / $3,975.21	Facility		$1,344.63	$1,918.64	$3,975.21
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,005.36 / $1,581.53 / $2,409.21	Professional		$1,005.36	$1,581.53	$2,409.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $620.70 / $1,040.61 / $3,293.00	Facility		$620.70	$1,040.61	$3,293.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $647.91 / $1,175.30 / $2,394.67	Professional		$647.91	$1,175.30	$2,394.67
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 $691.94 / $1,233.55 / $2,311.84	Professional		$691.94	$1,233.55	$2,311.84