Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $631.29 / $631.29 / $2,525.00	Facility		$631.29	$631.29	$2,525.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $614.65 / $644.37 / $996.00	Professional		$614.65	$644.37	$996.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.76 / $4,376.30 / $9,046.11	Facility		$2,088.76	$4,376.30	$9,046.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,108.88 / $1,789.87 / $2,306.98	Professional		$1,108.88	$1,789.87	$2,306.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,538.87 / $2,183.42 / $5,252.53	Facility		$1,538.87	$2,183.42	$5,252.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,157.35 / $1,843.65 / $2,738.11	Professional		$1,157.35	$1,843.65	$2,738.11
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,398.97 / $1,996.18 / $4,135.85	Facility		$1,398.97	$1,996.18	$4,135.85
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,047.83 / $1,648.35 / $2,511.01	Professional		$1,047.83	$1,648.35	$2,511.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $620.80 / $1,076.94 / $2,388.56	Facility		$620.80	$1,076.94	$2,388.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.16 / $1,242.58 / $2,499.90	Professional		$676.16	$1,242.58	$2,499.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,388.00 / $3,500.00 / $6,361.00	Facility		$1,388.00	$3,500.00	$6,361.00
United Facility/Professional Professional Modifier Low / Median / High Price $675.30 / $1,287.33 / $2,460.67	Professional		$675.30	$1,287.33	$2,460.67