Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $604.88 / $604.88 / $4,828.00	Facility		$604.88	$604.88	$4,828.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $604.88 / $662.86 / $1,095.36	Professional		$604.88	$662.86	$1,095.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,042.49 / $31,731.72 / $71,686.41	Facility		$3,042.49	$31,731.72	$71,686.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,126.48 / $1,736.57 / $2,436.62	Professional		$1,126.48	$1,736.57	$2,436.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,628.10 / $2,308.84 / $5,554.23	Facility		$1,628.10	$2,308.84	$5,554.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,324.93 / $2,226.01 / $3,178.69	Professional		$1,324.93	$2,226.01	$3,178.69
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,323.53 / $2,110.84 / $4,373.41	Facility		$1,323.53	$2,110.84	$4,373.41
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,166.48 / $1,996.19 / $2,645.38	Professional		$1,166.48	$1,996.19	$2,645.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.43 / $1,346.11 / $13,052.00	Facility		$891.43	$1,346.11	$13,052.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $872.56 / $1,721.86 / $2,654.88	Professional		$872.56	$1,721.86	$2,654.88
United Facility/Professional Facility Modifier Low / Median / High Price $6,276.00 / $13,802.00 / $25,695.00	Facility		$6,276.00	$13,802.00	$25,695.00
United Facility/Professional Professional Modifier Low / Median / High Price $885.89 / $1,729.32 / $2,644.02	Professional		$885.89	$1,729.32	$2,644.02