Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $620.24 / $620.24 / $6,575.00	Facility		$620.24	$620.24	$6,575.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $620.24 / $690.37 / $1,133.64	Professional		$620.24	$690.37	$1,133.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,635.84 / $5,403.37 / $11,143.91	Facility		$2,635.84	$5,403.37	$11,143.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,158.01 / $1,785.17 / $2,504.81	Professional		$1,158.01	$1,785.17	$2,504.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.26 / $2,353.04 / $5,660.55	Facility		$1,659.26	$2,353.04	$5,660.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,349.40 / $2,268.62 / $3,237.40	Professional		$1,349.40	$2,268.62	$3,237.40
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,348.86 / $2,151.23 / $4,457.13	Facility		$1,348.86	$2,151.23	$4,457.13
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,188.02 / $2,033.06 / $2,694.24	Professional		$1,188.02	$2,033.06	$2,694.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $910.96 / $1,380.41 / $6,740.00	Facility		$910.96	$1,380.41	$6,740.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $922.91 / $1,790.15 / $2,763.84	Professional		$922.91	$1,790.15	$2,763.84
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 $896.98 / $1,677.86 / $2,760.19	Professional		$896.98	$1,677.86	$2,760.19