Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $614.95 / $614.95 / $6,781.00	Facility		$614.95	$614.95	$6,781.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.37 / $647.74 / $976.71	Professional		$602.37	$647.74	$976.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,867.17 / $12,197.67 / $25,424.06	Facility		$2,867.17	$12,197.67	$25,424.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,238.90 / $1,984.98 / $2,634.32	Professional		$1,238.90	$1,984.98	$2,634.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,725.75 / $2,448.59 / $5,890.42	Facility		$1,725.75	$2,448.59	$5,890.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,294.36 / $2,061.90 / $3,062.24	Professional		$1,294.36	$2,061.90	$3,062.24
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,568.87 / $2,238.60 / $4,638.13	Facility		$1,568.87	$2,238.60	$4,638.13
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,171.88 / $1,843.48 / $2,808.25	Professional		$1,171.88	$1,843.48	$2,808.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $669.53 / $1,205.15 / $4,273.00	Facility		$669.53	$1,205.15	$4,273.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $663.56 / $1,206.48 / $2,459.27	Professional		$663.56	$1,206.48	$2,459.27
United Facility/Professional Facility Modifier Low / Median / High Price $3,940.00 / $7,872.00 / $11,531.00	Facility		$3,940.00	$7,872.00	$11,531.00
United Facility/Professional Professional Modifier Low / Median / High Price $663.56 / $1,179.33 / $2,302.17	Professional		$663.56	$1,179.33	$2,302.17