Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.75 / $719.75 / $4,828.00	Facility		$719.75	$719.75	$4,828.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.08 / $719.75 / $1,110.32	Professional		$666.08	$719.75	$1,110.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,923.87 / $5,939.08 / $11,966.76	Facility		$2,923.87	$5,939.08	$11,966.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,211.31 / $1,969.32 / $2,577.13	Professional		$1,211.31	$1,969.32	$2,577.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,735.85 / $2,462.92 / $5,924.90	Facility		$1,735.85	$2,462.92	$5,924.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,283.10 / $2,043.96 / $3,035.60	Professional		$1,283.10	$2,043.96	$3,035.60
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,578.05 / $2,251.69 / $4,665.28	Facility		$1,578.05	$2,251.69	$4,665.28
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,161.69 / $1,844.05 / $2,783.82	Professional		$1,161.69	$1,844.05	$2,783.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $719.75 / $1,216.38 / $3,293.00	Facility		$719.75	$1,216.38	$3,293.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $709.99 / $1,330.64 / $2,674.05	Professional		$709.99	$1,330.64	$2,674.05
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 $726.18 / $1,199.53 / $2,515.98	Professional		$726.18	$1,199.53	$2,515.98