Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $875.01 / $875.01 / $6,955.00	Facility		$875.01	$875.01	$6,955.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $875.01 / $925.38 / $1,350.00	Professional		$875.01	$925.38	$1,350.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,647.11 / $5,125.09 / $8,237.01	Facility		$2,647.11	$5,125.09	$8,237.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,553.21 / $2,394.40 / $3,359.63	Professional		$1,553.21	$2,394.40	$3,359.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,222.73 / $3,152.11 / $7,582.84	Facility		$2,222.73	$3,152.11	$7,582.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,808.27 / $3,039.03 / $4,338.28	Professional		$1,808.27	$3,039.03	$4,338.28
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,806.92 / $2,881.79 / $5,970.74	Facility		$1,806.92	$2,881.79	$5,970.74
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,592.01 / $2,724.40 / $3,610.42	Professional		$1,592.01	$2,724.40	$3,610.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,172.70 / $1,591.35 / $4,746.00	Facility		$1,172.70	$1,591.35	$4,746.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,203.09 / $2,398.14 / $4,814.49	Professional		$1,203.09	$2,398.14	$4,814.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,735.00 / $4,974.00 / $8,812.00	Facility		$2,735.00	$4,974.00	$8,812.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,196.65 / $2,207.98 / $3,697.62	Professional		$1,196.65	$2,207.98	$3,697.62