Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $718.26 / $718.26 / $3,638.00	Facility		$718.26	$718.26	$3,638.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.26 / $803.36 / $1,315.69	Professional		$718.26	$803.36	$1,315.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,271.94 / $10,689.38 / $20,925.29	Facility		$6,271.94	$10,689.38	$20,925.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,342.66 / $2,069.83 / $2,904.21	Professional		$1,342.66	$2,069.83	$2,904.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,922.05 / $2,725.70 / $6,557.04	Facility		$1,922.05	$2,725.70	$6,557.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,562.86 / $2,627.92 / $3,749.52	Professional		$1,562.86	$2,627.92	$3,749.52
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,562.49 / $2,491.94 / $5,163.03	Facility		$1,562.49	$2,491.94	$5,163.03
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,375.95 / $2,354.66 / $3,120.43	Professional		$1,375.95	$2,354.66	$3,120.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,078.21 / $1,598.72 / $10,533.00	Facility		$1,078.21	$1,598.72	$10,533.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,043.94 / $2,082.21 / $3,219.36	Professional		$1,043.94	$2,082.21	$3,219.36
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 $1,043.94 / $2,082.21 / $3,210.50	Professional		$1,043.94	$2,082.21	$3,210.50