Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $985.36 / $985.36 / $6,575.00	Facility		$985.36	$985.36	$6,575.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $958.53 / $998.33 / $1,551.85	Professional		$958.53	$998.33	$1,551.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,522.06 / $13,033.02 / $25,424.06	Facility		$4,522.06	$13,033.02	$25,424.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,722.95 / $2,781.03 / $3,639.38	Professional		$1,722.95	$2,781.03	$3,639.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,395.85 / $3,399.36 / $8,177.63	Facility		$2,395.85	$3,399.36	$8,177.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,794.23 / $2,858.16 / $4,244.81	Professional		$1,794.23	$2,858.16	$4,244.81
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,178.04 / $3,107.83 / $6,439.08	Facility		$2,178.04	$3,107.83	$6,439.08
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,624.44 / $2,555.78 / $3,892.74	Professional		$1,624.44	$2,555.78	$3,892.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,067.02 / $1,716.50 / $3,696.60	Facility		$1,067.02	$1,716.50	$3,696.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,060.74 / $1,942.46 / $3,903.57	Professional		$1,060.74	$1,942.46	$3,903.57
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 $1,060.74 / $1,893.48 / $3,735.78	Professional		$1,060.74	$1,893.48	$3,735.78