Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $852.85 / $852.85 / $6,781.00	Facility		$852.85	$852.85	$6,781.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $770.56 / $852.85 / $1,176.75	Professional		$770.56	$852.85	$1,176.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,981.98 / $4,073.04 / $6,468.06	Facility		$1,981.98	$4,073.04	$6,468.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,308.80 / $2,049.82 / $2,950.21	Professional		$1,308.80	$2,049.82	$2,950.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,938.89 / $2,749.59 / $6,614.51	Facility		$1,938.89	$2,749.59	$6,614.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,554.02 / $2,647.16 / $3,728.32	Professional		$1,554.02	$2,647.16	$3,728.32
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,576.18 / $2,513.78 / $5,208.28	Facility		$1,576.18	$2,513.78	$5,208.28
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,368.17 / $2,341.35 / $3,102.79	Professional		$1,368.17	$2,341.35	$3,102.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $943.05 / $1,530.13 / $4,013.00	Facility		$943.05	$1,530.13	$4,013.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,007.88 / $2,007.42 / $4,316.64	Professional		$1,007.88	$2,007.42	$4,316.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,296.00 / $3,500.00 / $6,361.00	Facility		$2,296.00	$3,500.00	$6,361.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,025.91 / $2,007.42 / $3,241.58	Professional		$1,025.91	$2,007.42	$3,241.58