Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $888.15 / $888.15 / $6,781.00	Facility		$888.15	$888.15	$6,781.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $866.64 / $904.44 / $1,407.21	Professional		$866.64	$904.44	$1,407.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,106.89 / $12,446.60 / $25,424.06	Facility		$4,106.89	$12,446.60	$25,424.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,563.39 / $2,523.48 / $3,302.33	Professional		$1,563.39	$2,523.48	$3,302.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,158.44 / $3,062.53 / $7,367.33	Facility		$2,158.44	$3,062.53	$7,367.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,620.31 / $2,581.11 / $3,833.35	Professional		$1,620.31	$2,581.11	$3,833.35
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,962.23 / $2,799.89 / $5,801.05	Facility		$1,962.23	$2,799.89	$5,801.05
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,466.98 / $2,307.69 / $3,515.41	Professional		$1,466.98	$2,307.69	$3,515.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $906.36 / $1,549.54 / $5,577.00	Facility		$906.36	$1,549.54	$5,577.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $958.30 / $1,750.00 / $3,527.97	Professional		$958.30	$1,750.00	$3,527.97
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 $976.91 / $1,824.49 / $3,395.92	Professional		$976.91	$1,824.49	$3,395.92