Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $908.37 / $908.37 / $4,828.00	Facility		$908.37	$908.37	$4,828.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $886.20 / $926.54 / $1,438.91	Professional		$886.20	$926.54	$1,438.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,220.70 / $12,446.60 / $25,424.06	Facility		$4,220.70	$12,446.60	$25,424.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,611.44 / $2,590.48 / $3,380.20	Professional		$1,611.44	$2,590.48	$3,380.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,210.65 / $3,136.59 / $7,545.48	Facility		$2,210.65	$3,136.59	$7,545.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,717.96 / $2,730.17 / $3,928.07	Professional		$1,717.96	$2,730.17	$3,928.07
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,009.68 / $2,867.59 / $5,941.33	Facility		$2,009.68	$2,867.59	$5,941.33
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,503.23 / $2,364.71 / $3,602.27	Professional		$1,503.23	$2,364.71	$3,602.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $932.50 / $1,559.18 / $4,305.95	Facility		$932.50	$1,559.18	$4,305.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $981.72 / $1,763.29 / $3,615.31	Professional		$981.72	$1,763.29	$3,615.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,940.00 / $6,787.00 / $11,165.00	Facility		$3,940.00	$6,787.00	$11,165.00
United Facility/Professional Professional Modifier Low / Median / High Price $981.72 / $1,761.14 / $3,572.66	Professional		$981.72	$1,761.14	$3,572.66