Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.52 / $794.52 / $6,575.00	Facility		$794.52	$794.52	$6,575.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $774.57 / $809.04 / $1,256.58	Professional		$774.57	$809.04	$1,256.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,621.18 / $12,197.67 / $25,424.06	Facility		$3,621.18	$12,197.67	$25,424.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,406.20 / $2,259.44 / $2,948.24	Professional		$1,406.20	$2,259.44	$2,948.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,932.00 / $2,741.23 / $6,594.40	Facility		$1,932.00	$2,741.23	$6,594.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,450.15 / $2,310.05 / $3,430.77	Professional		$1,450.15	$2,310.05	$3,430.77
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,756.36 / $2,506.14 / $5,192.43	Facility		$1,756.36	$2,506.14	$5,192.43
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,312.92 / $2,065.34 / $3,146.22	Professional		$1,312.92	$2,065.34	$3,146.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $808.83 / $1,387.33 / $5,577.00	Facility		$808.83	$1,387.33	$5,577.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $853.11 / $1,529.74 / $3,144.78	Professional		$853.11	$1,529.74	$3,144.78
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 $830.41 / $1,532.28 / $3,023.15	Professional		$830.41	$1,532.28	$3,023.15