Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.36 / $633.36 / $6,575.00	Facility		$633.36	$633.36	$6,575.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $633.36 / $707.31 / $1,157.83	Professional		$633.36	$707.31	$1,157.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,511.39 / $8,041.59 / $16,510.18	Facility		$4,511.39	$8,041.59	$16,510.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,183.33 / $1,824.22 / $2,559.61	Professional		$1,183.33	$1,824.22	$2,559.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,696.32 / $2,405.59 / $5,786.98	Facility		$1,696.32	$2,405.59	$5,786.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,378.63 / $2,319.29 / $3,307.53	Professional		$1,378.63	$2,319.29	$3,307.53
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,378.99 / $2,199.29 / $4,556.68	Facility		$1,378.99	$2,199.29	$4,556.68
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,213.76 / $2,077.10 / $2,752.60	Professional		$1,213.76	$2,077.10	$2,752.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $946.94 / $1,410.49 / $8,934.85	Facility		$946.94	$1,410.49	$8,934.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $916.61 / $1,834.00 / $2,832.08	Professional		$916.61	$1,834.00	$2,832.08
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 $930.60 / $1,833.25 / $2,827.79	Professional		$930.60	$1,833.25	$2,827.79