Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.54 / $637.54 / $4,828.00	Facility		$637.54	$637.54	$4,828.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $621.41 / $651.85 / $1,008.04	Professional		$621.41	$651.85	$1,008.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,914.25 / $5,939.08 / $11,966.76	Facility		$2,914.25	$5,939.08	$11,966.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,121.56 / $1,810.32 / $2,369.06	Professional		$1,121.56	$1,810.32	$2,369.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,554.02 / $2,204.92 / $5,304.25	Facility		$1,554.02	$2,204.92	$5,304.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,168.61 / $1,861.59 / $2,764.75	Professional		$1,168.61	$1,861.59	$2,764.75
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,412.74 / $2,015.83 / $4,176.58	Facility		$1,412.74	$2,015.83	$4,176.58
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,058.04 / $1,664.39 / $2,535.44	Professional		$1,058.04	$1,664.39	$2,535.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $659.72 / $1,208.83 / $5,499.00	Facility		$659.72	$1,208.83	$5,499.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $683.23 / $1,227.16 / $2,522.41	Professional		$683.23	$1,227.16	$2,522.41
United Facility/Professional Facility Modifier Low / Median / High Price $3,051.00 / $4,506.00 / $9,787.00	Facility		$3,051.00	$4,506.00	$9,787.00
United Facility/Professional Professional Modifier Low / Median / High Price $683.23 / $1,211.33 / $2,421.15	Professional		$683.23	$1,211.33	$2,421.15