Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.47 / $489.47 / $4,828.00	Facility		$489.47	$489.47	$4,828.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.88 / $499.05 / $770.06	Professional		$475.88	$499.05	$770.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,087.21 / $5,939.08 / $11,503.06	Facility		$2,087.21	$5,939.08	$11,503.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $864.65 / $1,388.49 / $1,811.78	Professional		$864.65	$1,388.49	$1,811.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,194.56 / $1,694.90 / $4,077.32	Facility		$1,194.56	$1,694.90	$4,077.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $897.74 / $1,430.08 / $2,123.88	Professional		$897.74	$1,430.08	$2,123.88
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,085.96 / $1,549.55 / $3,210.49	Facility		$1,085.96	$1,549.55	$3,210.49
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $812.78 / $1,278.58 / $1,947.73	Professional		$812.78	$1,278.58	$1,947.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $499.45 / $858.64 / $3,293.00	Facility		$499.45	$858.64	$3,293.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $521.13 / $958.50 / $1,926.56	Professional		$521.13	$958.50	$1,926.56
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 $521.13 / $900.13 / $1,893.85	Professional		$521.13	$900.13	$1,893.85