Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $5,011.87	Facility		$891.25	$891.25	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $1,380.38	Professional		$758.58	$891.25	$1,380.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $7,585.78 / $22,908.68	Facility		$4,365.16	$7,585.78	$22,908.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,089.30 / $3,162.28	Professional		$1,380.38	$2,089.30	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,235.94 / $7,585.78	Facility		$2,238.72	$3,235.94	$7,585.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,570.40 / $3,801.89	Professional		$1,513.56	$2,570.40	$3,801.89
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,090.30 / $6,025.60	Facility		$2,454.71	$3,090.30	$6,025.60
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $3,467.37	Professional		$1,621.81	$2,137.96	$3,467.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,621.81 / $6,918.31	Facility		$891.25	$1,621.81	$6,918.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,479.11 / $4,677.35	Professional		$794.33	$1,479.11	$4,677.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,011.87 / $10,000.00	Facility		$2,818.38	$5,011.87	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,479.11 / $3,019.95	Professional		$831.76	$1,479.11	$3,019.95