Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $552.96 / $552.96 / $6,575.00	Facility		$552.96	$552.96	$6,575.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $552.96 / $624.89 / $849.23	Professional		$552.96	$624.89	$849.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,146.75 / $5,677.23 / $12,389.06	Facility		$1,146.75	$5,677.23	$12,389.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $980.11 / $1,510.93 / $2,120.02	Professional		$980.11	$1,510.93	$2,120.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,408.27 / $1,997.10 / $4,804.28	Facility		$1,408.27	$1,997.10	$4,804.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,144.78 / $1,925.45 / $2,746.49	Professional		$1,144.78	$1,925.45	$2,746.49
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,144.82 / $1,825.82 / $3,782.90	Facility		$1,144.82	$1,825.82	$3,782.90
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,007.87 / $1,724.77 / $2,285.69	Professional		$1,007.87	$1,724.77	$2,285.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $736.84 / $1,171.30 / $7,770.00	Facility		$736.84	$1,171.30	$7,770.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $759.20 / $1,510.32 / $3,032.12	Professional		$759.20	$1,510.32	$3,032.12
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 $749.70 / $1,510.32 / $2,328.71	Professional		$749.70	$1,510.32	$2,328.71