Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $687.20 / $687.20 / $4,828.00	Facility		$687.20	$687.20	$4,828.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $687.20 / $798.12 / $1,002.85	Professional		$687.20	$798.12	$1,002.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,748.94 / $11,203.41 / $22,223.37	Facility		$6,748.94	$11,203.41	$22,223.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,046.03 / $1,590.64 / $2,409.83	Professional		$1,046.03	$1,590.64	$2,409.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,532.08 / $2,172.67 / $5,226.67	Facility		$1,532.08	$2,172.67	$5,226.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,246.07 / $2,027.99 / $2,941.08	Professional		$1,246.07	$2,027.99	$2,941.08
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,245.47 / $1,986.35 / $4,115.49	Facility		$1,245.47	$1,986.35	$4,115.49
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,041.33 / $1,671.33 / $2,487.92	Professional		$1,041.33	$1,671.33	$2,487.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $827.35 / $1,274.76 / $12,367.00	Facility		$827.35	$1,274.76	$12,367.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $793.79 / $1,388.69 / $2,760.30	Professional		$793.79	$1,388.69	$2,760.30
United Facility/Professional Facility Modifier Low / Median / High Price $5,577.00 / $10,743.00 / $12,774.00	Facility		$5,577.00	$10,743.00	$12,774.00
United Facility/Professional Professional Modifier Low / Median / High Price $793.79 / $1,563.27 / $2,622.32	Professional		$793.79	$1,563.27	$2,622.32