Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.61 / $612.61 / $4,828.00	Facility		$612.61	$612.61	$4,828.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.14 / $624.45 / $965.57	Professional		$596.14	$624.45	$965.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,841.09 / $12,197.67 / $25,424.06	Facility		$2,841.09	$12,197.67	$25,424.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,074.32 / $1,734.08 / $2,269.29	Professional		$1,074.32	$1,734.08	$2,269.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,493.41 / $2,118.92 / $5,097.37	Facility		$1,493.41	$2,118.92	$5,097.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,121.70 / $1,786.85 / $2,653.74	Professional		$1,121.70	$1,786.85	$2,653.74
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,357.64 / $1,937.21 / $4,013.68	Facility		$1,357.64	$1,937.21	$4,013.68
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,015.56 / $1,597.56 / $2,433.64	Professional		$1,015.56	$1,597.56	$2,433.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $623.40 / $1,051.08 / $5,577.00	Facility		$623.40	$1,051.08	$5,577.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $652.00 / $1,183.26 / $2,411.80	Professional		$652.00	$1,183.26	$2,411.80
United Facility/Professional Facility Modifier Low / Median / High Price $4,366.00 / $6,787.00 / $12,774.00	Facility		$4,366.00	$6,787.00	$12,774.00
United Facility/Professional Professional Modifier Low / Median / High Price $652.00 / $1,212.83 / $2,411.80	Professional		$652.00	$1,212.83	$2,411.80