Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $2,630.27	Facility		$562.34	$562.34	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $575.44 / $912.01	Professional		$501.19	$575.44	$912.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $12,302.69	Facility		$2,630.27	$4,570.88	$12,302.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,380.38 / $2,089.30	Professional		$912.01	$1,380.38	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $4,897.79	Facility		$1,479.11	$2,089.30	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,698.24 / $2,511.89	Professional		$1,000.00	$1,698.24	$2,511.89
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $3,890.45	Facility		$1,584.89	$1,995.26	$3,890.45
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $2,238.72	Professional		$1,000.00	$1,412.54	$2,238.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,148.15 / $4,677.35	Facility		$575.44	$1,148.15	$4,677.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $977.24 / $3,090.30	Professional		$524.81	$977.24	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,715.35 / $6,456.54	Facility		$1,905.46	$3,715.35	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $977.24 / $1,995.26	Professional		$537.03	$977.24	$1,995.26