Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $7,079.46	Facility		$724.44	$724.44	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $1,445.44	Professional		$676.08	$794.33	$1,445.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $11,748.98 / $26,915.35	Facility		$4,265.80	$11,748.98	$26,915.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,819.70 / $2,691.53	Professional		$1,174.90	$1,819.70	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,754.23 / $6,606.93	Facility		$1,737.80	$2,754.23	$6,606.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,089.30 / $3,235.94	Professional		$1,174.90	$2,089.30	$3,235.94
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,630.27 / $5,128.61	Facility		$2,137.96	$2,630.27	$5,128.61
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,862.09 / $2,951.21	Professional		$1,318.26	$1,862.09	$2,951.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,148.15 / $2,818.38	Facility		$724.44	$1,148.15	$2,818.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,380.38 / $6,760.83	Professional		$724.44	$1,380.38	$6,760.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,754.40 / $12,589.25	Facility		$1,584.89	$5,754.40	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,318.26 / $2,454.71	Professional		$724.44	$1,318.26	$2,454.71