Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.29 / $755.29 / $3,638.00	Facility		$755.29	$755.29	$3,638.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $755.29 / $755.29 / $1,045.56	Professional		$755.29	$755.29	$1,045.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $384.25 / $805.93 / $5,329.88	Facility		$384.25	$805.93	$5,329.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,186.26 / $1,847.65 / $2,610.42	Professional		$1,186.26	$1,847.65	$2,610.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,746.86 / $2,477.26 / $5,959.38	Facility		$1,746.86	$2,477.26	$5,959.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,405.83 / $2,388.39 / $3,372.77	Professional		$1,405.83	$2,388.39	$3,372.77
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,420.07 / $2,264.81 / $4,692.43	Facility		$1,420.07	$2,264.81	$4,692.43
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,237.70 / $2,118.07 / $2,806.90	Professional		$1,237.70	$2,118.07	$2,806.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $755.29 / $1,276.44 / $3,500.00	Facility		$755.29	$1,276.44	$3,500.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $951.86 / $1,860.09 / $3,999.83	Professional		$951.86	$1,860.09	$3,999.83
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 $928.38 / $1,712.59 / $3,003.67	Professional		$928.38	$1,712.59	$3,003.67