Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $908.82 / $908.82 / $6,575.00	Facility		$908.82	$908.82	$6,575.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $887.85 / $925.48 / $1,443.52	Professional		$887.85	$925.48	$1,443.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,259.17 / $12,446.60 / $25,424.06	Facility		$4,259.17	$12,446.60	$25,424.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,612.02 / $2,593.28 / $3,383.85	Professional		$1,612.02	$2,593.28	$3,383.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,206.44 / $3,130.61 / $7,531.12	Facility		$2,206.44	$3,130.61	$7,531.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,655.97 / $2,637.92 / $3,917.71	Professional		$1,655.97	$2,637.92	$3,917.71
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,005.85 / $2,862.13 / $5,930.01	Facility		$2,005.85	$2,862.13	$5,930.01
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,499.26 / $2,358.48 / $3,592.77	Professional		$1,499.26	$2,358.48	$3,592.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $957.91 / $1,583.93 / $5,171.39	Facility		$957.91	$1,583.93	$5,171.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $986.93 / $1,786.00 / $3,627.41	Professional		$986.93	$1,786.00	$3,627.41
United Facility/Professional Facility Modifier Low / Median / High Price $3,121.00 / $5,499.00 / $9,810.00	Facility		$3,121.00	$5,499.00	$9,810.00
United Facility/Professional Professional Modifier Low / Median / High Price $983.30 / $1,698.43 / $3,497.36	Professional		$983.30	$1,698.43	$3,497.36