Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $2,630.27	Facility		$457.09	$457.09	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $467.74 / $2,041.74	Professional		$380.19	$467.74	$2,041.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,677.35 / $12,022.64	Facility		$2,511.89	$4,677.35	$12,022.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,096.48 / $1,659.59	Professional		$724.44	$1,096.48	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,659.59 / $3,981.07	Facility		$1,174.90	$1,659.59	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,348.96 / $2,041.74	Professional		$812.83	$1,348.96	$2,041.74
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $3,162.28	Facility		$1,288.25	$1,621.81	$3,162.28
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,819.70	Professional		$870.96	$1,148.15	$1,819.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $891.25 / $3,981.07	Facility		$457.09	$891.25	$3,981.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $851.14 / $2,570.40	Professional		$416.87	$851.14	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,467.37 / $6,456.54	Facility		$1,380.38	$3,467.37	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $812.83 / $1,584.89	Professional		$436.52	$812.83	$1,584.89