Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $701.57 / $701.57 / $4,828.00	Facility		$701.57	$701.57	$4,828.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.44 / $701.57 / $1,108.67	Professional		$646.44	$701.57	$1,108.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,276.30 / $12,197.67 / $25,424.06	Facility		$3,276.30	$12,197.67	$25,424.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,244.90 / $1,988.84 / $2,602.67	Professional		$1,244.90	$1,988.84	$2,602.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,707.23 / $2,422.31 / $5,827.20	Facility		$1,707.23	$2,422.31	$5,827.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,281.85 / $2,041.97 / $3,032.64	Professional		$1,281.85	$2,041.97	$3,032.64
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,552.03 / $2,214.58 / $4,588.35	Facility		$1,552.03	$2,214.58	$4,588.35
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,160.55 / $1,825.66 / $2,781.11	Professional		$1,160.55	$1,825.66	$2,781.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $717.83 / $1,201.90 / $3,311.95	Facility		$717.83	$1,201.90	$3,311.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $751.99 / $1,356.80 / $2,774.57	Professional		$751.99	$1,356.80	$2,774.57
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 $751.99 / $1,288.96 / $2,664.83	Professional		$751.99	$1,288.96	$2,664.83