Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $5,011.87	Facility		$616.60	$616.60	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $630.96 / $977.24	Professional		$562.34	$630.96	$977.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $14,125.38 / $32,359.37	Facility		$3,801.89	$14,125.38	$32,359.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $2,290.87	Professional		$1,000.00	$1,479.11	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,290.87 / $5,370.32	Facility		$1,621.81	$2,290.87	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,862.09 / $2,818.38	Professional		$1,122.02	$1,862.09	$2,818.38
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $4,265.80	Facility		$1,737.80	$2,187.76	$4,265.80
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $2,511.89	Professional		$1,202.26	$1,584.89	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,202.26 / $6,760.83	Facility		$645.65	$1,202.26	$6,760.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,202.26 / $3,467.37	Professional		$616.60	$1,202.26	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,786.30 / $9,332.54	Facility		$2,398.83	$4,786.30	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,148.15 / $2,290.87	Professional		$630.96	$1,148.15	$2,290.87