Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.97 / $4,784.39 / $6,575.00	Facility		$688.97	$4,784.39	$6,575.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $344.49 / $344.49 / $344.49	Facility	52	$344.49	$344.49	$344.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $688.97 / $852.45 / $3,308.00	Professional		$688.97	$852.45	$3,308.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,696.09 / $11,540.50 / $22,778.46	Facility		$6,696.09	$11,540.50	$22,778.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,223.18 / $1,885.84 / $2,646.06	Professional		$1,223.18	$1,885.84	$2,646.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,749.38 / $2,480.84 / $5,968.00	Facility		$1,749.38	$2,480.84	$5,968.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,422.82 / $2,391.84 / $3,413.54	Professional		$1,422.82	$2,391.84	$3,413.54
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,422.12 / $2,268.08 / $4,699.21	Facility		$1,422.12	$2,268.08	$4,699.21
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,252.66 / $2,143.67 / $2,840.83	Professional		$1,252.66	$2,143.67	$2,840.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $980.46 / $1,595.92 / $9,793.00	Facility		$980.46	$1,595.92	$9,793.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,093.42 / $1,896.77 / $3,807.94	Professional		$1,093.42	$1,896.77	$3,807.94
United Facility/Professional Facility Modifier Low / Median / High Price $3,940.00 / $8,689.00 / $11,531.00	Facility		$3,940.00	$8,689.00	$11,531.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,034.38 / $1,904.99 / $3,204.80	Professional		$1,034.38	$1,904.99	$3,204.80