Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.50 / $383.50 / $2,906.00	Facility		$383.50	$383.50	$2,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.50 / $423.81 / $697.32	Professional		$383.50	$423.81	$697.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $797.59 / $3,204.08 / $7,238.46	Facility		$797.59	$3,204.08	$7,238.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $714.96 / $1,102.17 / $1,546.48	Professional		$714.96	$1,102.17	$1,546.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,029.25 / $1,459.60 / $3,511.26	Facility		$1,029.25	$1,459.60	$3,511.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $836.83 / $1,407.24 / $2,007.68	Professional		$836.83	$1,407.24	$2,007.68
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $836.70 / $1,334.42 / $2,764.78	Facility		$836.70	$1,334.42	$2,764.78
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $736.75 / $1,260.81 / $1,670.84	Professional		$736.75	$1,260.81	$1,670.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $544.85 / $856.47 / $6,740.00	Facility		$544.85	$856.47	$6,740.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $553.79 / $1,100.13 / $1,696.26	Professional		$553.79	$1,100.13	$1,696.26
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 $547.40 / $1,046.66 / $1,696.26	Professional		$547.40	$1,046.66	$1,696.26