Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $754.59 / $754.59 / $754.59	Facility		$754.59	$754.59	$754.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.59 / $870.40 / $1,081.96	Professional		$754.59	$870.40	$1,081.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,505.60 / $6,498.38 / $12,890.36	Facility		$3,505.60	$6,498.38	$12,890.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,184.27 / $1,798.82 / $2,725.21	Professional		$1,184.27	$1,798.82	$2,725.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,689.58 / $2,396.04 / $5,763.99	Facility		$1,689.58	$2,396.04	$5,763.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,375.92 / $2,239.30 / $3,247.54	Professional		$1,375.92	$2,239.30	$3,247.54
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,373.51 / $2,190.55 / $4,538.58	Facility		$1,373.51	$2,190.55	$4,538.58
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,149.83 / $1,845.48 / $2,747.18	Professional		$1,149.83	$1,845.48	$2,747.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $624.64 / $1,332.16 / $9,255.00	Facility		$624.64	$1,332.16	$9,255.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $692.52 / $1,481.59 / $2,956.44	Professional		$692.52	$1,481.59	$2,956.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,293.00 / $6,652.00 / $9,810.00	Facility		$3,293.00	$6,652.00	$9,810.00
United Facility/Professional Professional Modifier Low / Median / High Price $741.99 / $1,620.34 / $2,808.65	Professional		$741.99	$1,620.34	$2,808.65