Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.83 / $613.83 / $3,638.00	Facility		$613.83	$613.83	$3,638.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.83 / $693.20 / $1,118.19	Professional		$613.83	$693.20	$1,118.19
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 $1,146.18 / $1,766.95 / $2,479.23	Professional		$1,146.18	$1,766.95	$2,479.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,648.31 / $2,337.51 / $5,623.19	Facility		$1,648.31	$2,337.51	$5,623.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,341.25 / $2,253.65 / $3,217.83	Professional		$1,341.25	$2,253.65	$3,217.83
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,339.96 / $2,137.04 / $4,427.71	Facility		$1,339.96	$2,137.04	$4,427.71
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,180.83 / $2,020.77 / $2,677.95	Professional		$1,180.83	$2,020.77	$2,677.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,022.39 / $1,371.96 / $8,313.00	Facility		$1,022.39	$1,371.96	$8,313.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $927.50 / $1,759.91 / $2,713.56	Professional		$927.50	$1,759.91	$2,713.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,735.00 / $4,974.00 / $8,812.00	Facility		$2,735.00	$4,974.00	$8,812.00
United Facility/Professional Professional Modifier Low / Median / High Price $892.38 / $1,883.81 / $2,713.56	Professional		$892.38	$1,883.81	$2,713.56