Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $5,011.87	Facility		$707.95	$707.95	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $724.44 / $1,148.15	Professional		$630.96	$724.44	$1,148.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,585.78 / $15,848.93	Facility		$4,265.80	$7,585.78	$15,848.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,737.80 / $2,630.27	Professional		$1,148.15	$1,737.80	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,570.40 / $6,165.95	Facility		$1,819.70	$2,570.40	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,089.30 / $3,162.28	Professional		$1,258.93	$2,089.30	$3,162.28
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,511.89 / $4,897.79	Facility		$1,995.26	$2,511.89	$4,897.79
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $2,818.38	Professional		$1,348.96	$1,778.28	$2,818.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,348.96 / $6,918.31	Facility		$724.44	$1,348.96	$6,918.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,318.26 / $3,890.45	Professional		$676.08	$1,318.26	$3,890.45
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 $691.83 / $1,258.93 / $2,511.89	Professional		$691.83	$1,258.93	$2,511.89