Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.54 / $646.54 / $2,525.00	Facility		$646.54	$646.54	$2,525.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $573.99 / $655.68 / $1,125.05	Professional		$573.99	$655.68	$1,125.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,037.69 / $9,984.76 / $20,811.61	Facility		$3,037.69	$9,984.76	$20,811.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,136.18 / $1,936.38 / $2,348.55	Professional		$1,136.18	$1,936.38	$2,348.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,500.75 / $2,342.29 / $5,634.69	Facility		$1,500.75	$2,342.29	$5,634.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.26 / $2,102.91 / $2,912.65	Professional		$1,174.26	$2,102.91	$2,912.65
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,300.54 / $2,137.48 / $4,436.76	Facility		$1,300.54	$2,137.48	$4,436.76
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,174.26 / $1,932.77 / $2,663.02	Professional		$1,174.26	$1,932.77	$2,663.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $646.54 / $1,306.40 / $2,031.26	Facility		$646.54	$1,306.40	$2,031.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $738.44 / $1,457.06 / $4,939.28	Professional		$738.44	$1,457.06	$4,939.28
United Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $3,940.00 / $10,493.00	Facility		$875.00	$3,940.00	$10,493.00
United Facility/Professional Professional Modifier Low / Median / High Price $738.44 / $1,392.38 / $2,621.75	Professional		$738.44	$1,392.38	$2,621.75