Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $619.79 / $619.79 / $4,828.00	Facility		$619.79	$619.79	$4,828.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $603.46 / $631.38 / $977.99	Professional		$603.46	$631.38	$977.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,875.32 / $12,197.67 / $25,424.06	Facility		$2,875.32	$12,197.67	$25,424.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,095.75 / $1,760.56 / $2,297.27	Professional		$1,095.75	$1,760.56	$2,297.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,509.40 / $2,141.62 / $5,151.96	Facility		$1,509.40	$2,141.62	$5,151.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.92 / $1,864.00 / $2,681.87	Professional		$1,172.92	$1,864.00	$2,681.87
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,372.18 / $1,957.96 / $4,056.66	Facility		$1,372.18	$1,957.96	$4,056.66
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,026.32 / $1,614.49 / $2,459.42	Professional		$1,026.32	$1,614.49	$2,459.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $634.97 / $1,062.77 / $3,293.00	Facility		$634.97	$1,062.77	$3,293.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $661.29 / $1,207.54 / $2,444.28	Professional		$661.29	$1,207.54	$2,444.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,121.00 / $9,404.00 / $23,633.78	Facility		$3,121.00	$9,404.00	$23,633.78
United Facility/Professional Professional Modifier Low / Median / High Price $661.29 / $1,133.73 / $2,406.55	Professional		$661.29	$1,133.73	$2,406.55