Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $697.42 / $697.42 / $697.42	Facility		$697.42	$697.42	$697.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $697.42 / $740.56 / $1,075.53	Professional		$697.42	$740.56	$1,075.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,647.11 / $4,382.57 / $8,237.01	Facility		$2,647.11	$4,382.57	$8,237.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,187.93 / $1,864.67 / $2,570.56	Professional		$1,187.93	$1,864.67	$2,570.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,703.90 / $2,416.34 / $5,812.84	Facility		$1,703.90	$2,416.34	$5,812.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,386.11 / $2,329.66 / $3,325.47	Professional		$1,386.11	$2,329.66	$3,325.47
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,385.15 / $2,209.12 / $4,577.04	Facility		$1,385.15	$2,209.12	$4,577.04
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,220.33 / $2,088.37 / $2,767.53	Professional		$1,220.33	$2,088.37	$2,767.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $906.88 / $1,318.96 / $3,378.00	Facility		$906.88	$1,318.96	$3,378.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $940.20 / $1,886.26 / $3,786.85	Professional		$940.20	$1,886.26	$3,786.85
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 $934.59 / $1,886.26 / $2,908.37	Professional		$934.59	$1,886.26	$2,908.37