Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $751.45 / $751.45 / $6,781.00	Facility		$751.45	$751.45	$6,781.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $751.45 / $824.83 / $1,009.80	Professional		$751.45	$824.83	$1,009.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,504.71 / $8,480.52 / $17,676.25	Facility		$3,504.71	$8,480.52	$17,676.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,410.63 / $2,174.84 / $3,051.56	Professional		$1,410.63	$2,174.84	$3,051.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,999.53 / $2,835.59 / $6,821.39	Facility		$1,999.53	$2,835.59	$6,821.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,614.53 / $2,733.86 / $3,873.47	Professional		$1,614.53	$2,733.86	$3,873.47
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,625.48 / $2,592.41 / $5,371.18	Facility		$1,625.48	$2,592.41	$5,371.18
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,421.44 / $2,432.50 / $3,223.59	Professional		$1,421.44	$2,432.50	$3,223.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.41 / $1,651.65 / $10,533.00	Facility		$1,096.41	$1,651.65	$10,533.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,092.78 / $2,134.65 / $4,590.24	Professional		$1,092.78	$2,134.65	$4,590.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,940.00 / $8,689.00 / $11,531.00	Facility		$3,940.00	$8,689.00	$11,531.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,109.46 / $2,286.00 / $3,635.64	Professional		$1,109.46	$2,286.00	$3,635.64