Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $866.97 / $866.97 / $866.97	Facility		$866.97	$866.97	$866.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $866.97 / $1,011.01 / $1,257.02	Professional		$866.97	$1,011.01	$1,257.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,635.80 / $3,516.96 / $6,919.89	Facility		$1,635.80	$3,516.96	$6,919.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,316.20 / $2,000.56 / $3,030.86	Professional		$1,316.20	$2,000.56	$3,030.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,924.57 / $2,729.28 / $6,565.66	Facility		$1,924.57	$2,729.28	$6,565.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,566.26 / $2,549.09 / $3,696.81	Professional		$1,566.26	$2,549.09	$3,696.81
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,564.54 / $2,495.21 / $5,169.81	Facility		$1,564.54	$2,495.21	$5,169.81
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,308.90 / $2,100.79 / $3,127.22	Professional		$1,308.90	$2,100.79	$3,127.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,198.68 / $1,602.05 / $3,500.00	Facility		$1,198.68	$1,602.05	$3,500.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,038.85 / $1,777.76 / $3,521.64	Professional		$1,038.85	$1,777.76	$3,521.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,751.00 / $3,500.00 / $8,152.00	Facility		$1,751.00	$3,500.00	$8,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,101.94 / $1,897.94 / $3,369.82	Professional		$1,101.94	$1,897.94	$3,369.82