Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $739.01 / $739.01 / $739.01	Facility		$739.01	$739.01	$739.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $739.01 / $870.03 / $1,092.05	Professional		$739.01	$870.03	$1,092.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,486.12 / $17,430.16 / $37,794.89	Facility		$1,486.12	$17,430.16	$37,794.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,136.96 / $1,690.94 / $2,625.36	Professional		$1,136.96	$1,690.94	$2,625.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,628.10 / $2,308.84 / $5,554.23	Facility		$1,628.10	$2,308.84	$5,554.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,320.85 / $2,149.69 / $3,117.58	Professional		$1,320.85	$2,149.69	$3,117.58
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,323.53 / $2,110.84 / $4,373.41	Facility		$1,323.53	$2,110.84	$4,373.41
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,103.82 / $1,771.63 / $2,637.23	Professional		$1,103.82	$1,771.63	$2,637.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,162.47 / $1,350.97 / $3,500.00	Facility		$1,162.47	$1,350.97	$3,500.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $927.51 / $1,568.84 / $3,086.06	Professional		$927.51	$1,568.84	$3,086.06
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 $940.16 / $1,549.77 / $2,966.46	Professional		$940.16	$1,549.77	$2,966.46