Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $777.75 / $777.75 / $6,575.00	Facility		$777.75	$777.75	$6,575.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $664.12 / $777.75 / $1,213.26	Professional		$664.12	$777.75	$1,213.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,083.23 / $6,034.44 / $11,966.76	Facility		$3,083.23	$6,034.44	$11,966.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,315.94 / $2,138.54 / $2,798.58	Professional		$1,315.94	$2,138.54	$2,798.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,876.44 / $2,662.40 / $6,404.75	Facility		$1,876.44	$2,662.40	$6,404.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,388.21 / $2,211.39 / $3,284.25	Professional		$1,388.21	$2,211.39	$3,284.25
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,705.85 / $2,434.07 / $5,043.10	Facility		$1,705.85	$2,434.07	$5,043.10
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,256.83 / $1,995.10 / $3,011.85	Professional		$1,256.83	$1,995.10	$3,011.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $777.75 / $1,314.40 / $3,991.00	Facility		$777.75	$1,314.40	$3,991.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $775.41 / $1,446.42 / $2,912.55	Professional		$775.41	$1,446.42	$2,912.55
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 $805.53 / $1,312.50 / $2,720.59	Professional		$805.53	$1,312.50	$2,720.59