Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $827.04 / $827.04 / $7,397.00	Facility		$827.04	$827.04	$7,397.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $827.04 / $908.51 / $1,112.43	Professional		$827.04	$908.51	$1,112.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,679.65 / $7,824.33 / $17,676.25	Facility		$1,679.65	$7,824.33	$17,676.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,543.81 / $2,399.61 / $3,366.94	Professional		$1,543.81	$2,399.61	$3,366.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,191.57 / $3,107.92 / $7,476.52	Facility		$2,191.57	$3,107.92	$7,476.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,765.44 / $2,996.42 / $4,235.54	Professional		$1,765.44	$2,996.42	$4,235.54
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,781.59 / $2,841.38 / $5,887.03	Facility		$1,781.59	$2,841.38	$5,887.03
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,554.30 / $2,659.88 / $3,524.91	Professional		$1,554.30	$2,659.88	$3,524.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,179.02 / $1,680.28 / $3,378.00	Facility		$1,179.02	$1,680.28	$3,378.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,205.72 / $2,358.67 / $5,071.96	Professional		$1,205.72	$2,358.67	$5,071.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,751.00 / $3,500.00 / $8,152.00	Facility		$1,751.00	$3,500.00	$8,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,205.72 / $2,070.27 / $3,636.77	Professional		$1,205.72	$2,070.27	$3,636.77