Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.11 / $625.11 / $4,828.00	Facility		$625.11	$625.11	$4,828.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.04 / $625.11 / $985.96	Professional		$569.04	$625.11	$985.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,866.16 / $5,939.08 / $11,966.76	Facility		$2,866.16	$5,939.08	$11,966.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,095.64 / $1,768.48 / $2,314.30	Professional		$1,095.64	$1,768.48	$2,314.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,521.19 / $2,158.34 / $5,192.18	Facility		$1,521.19	$2,158.34	$5,192.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,140.47 / $1,816.75 / $2,698.15	Professional		$1,140.47	$1,816.75	$2,698.15
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,382.90 / $1,973.24 / $4,088.34	Facility		$1,382.90	$1,973.24	$4,088.34
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,032.55 / $1,624.29 / $2,474.36	Professional		$1,032.55	$1,624.29	$2,474.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $642.05 / $1,069.49 / $5,577.00	Facility		$642.05	$1,069.49	$5,577.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $669.10 / $1,224.00 / $2,473.17	Professional		$669.10	$1,224.00	$2,473.17
United Facility/Professional Facility Modifier Low / Median / High Price $5,457.00 / $9,370.00 / $12,774.00	Facility		$5,457.00	$9,370.00	$12,774.00
United Facility/Professional Professional Modifier Low / Median / High Price $714.57 / $1,336.68 / $2,434.96	Professional		$714.57	$1,336.68	$2,434.96