Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $795.84 / $795.84 / $5,785.00	Facility		$795.84	$795.84	$5,785.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $795.84 / $844.82 / $1,227.69	Professional		$795.84	$844.82	$1,227.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,696.09 / $11,540.50 / $22,684.35	Facility		$6,696.09	$11,540.50	$22,684.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,411.20 / $2,175.69 / $3,052.77	Professional		$1,411.20	$2,175.69	$3,052.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,019.75 / $2,864.26 / $6,890.35	Facility		$2,019.75	$2,864.26	$6,890.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,642.40 / $2,761.50 / $3,940.34	Professional		$1,642.40	$2,761.50	$3,940.34
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,641.91 / $2,618.62 / $5,425.48	Facility		$1,641.91	$2,618.62	$5,425.48
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,445.98 / $2,474.50 / $3,279.24	Professional		$1,445.98	$2,474.50	$3,279.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,133.11 / $1,680.14 / $9,255.00	Facility		$1,133.11	$1,680.14	$9,255.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,099.06 / $2,189.73 / $4,396.10	Professional		$1,099.06	$2,189.73	$4,396.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,293.00 / $6,652.00 / $9,810.00	Facility		$3,293.00	$6,652.00	$9,810.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,099.06 / $2,016.10 / $3,376.29	Professional		$1,099.06	$2,016.10	$3,376.29