Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $643.28 / $643.28 / $3,638.00	Facility		$643.28	$643.28	$3,638.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $643.28 / $643.28 / $893.71	Professional		$643.28	$643.28	$893.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,609.97 / $6,498.38 / $12,890.36	Facility		$3,609.97	$6,498.38	$12,890.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,013.35 / $1,584.70 / $2,223.52	Professional		$1,013.35	$1,584.70	$2,223.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,493.33 / $2,117.73 / $5,094.49	Facility		$1,493.33	$2,117.73	$5,094.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,196.45 / $2,038.06 / $2,870.44	Professional		$1,196.45	$2,038.06	$2,870.44
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,213.97 / $1,936.12 / $4,011.41	Facility		$1,213.97	$1,936.12	$4,011.41
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,053.35 / $1,802.61 / $2,388.85	Professional		$1,053.35	$1,802.61	$2,388.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $745.71 / $1,191.82 / $8,153.86	Facility		$745.71	$1,191.82	$8,153.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $768.63 / $1,525.31 / $3,279.94	Professional		$768.63	$1,525.31	$3,279.94
United Facility/Professional Facility Modifier Low / Median / High Price $3,991.00 / $8,153.86 / $10,412.94	Facility		$3,991.00	$8,153.86	$10,412.94
United Facility/Professional Professional Modifier Low / Median / High Price $796.26 / $1,531.92 / $2,351.83	Professional		$796.26	$1,531.92	$2,351.83