Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $647.58 / $647.58 / $5,152.00	Facility		$647.58	$647.58	$5,152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $647.58 / $708.15 / $868.25	Professional		$647.58	$708.15	$868.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,343.61 / $3,175.54 / $9,152.21	Facility		$1,343.61	$3,175.54	$9,152.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,204.16 / $1,872.82 / $2,627.80	Professional		$1,204.16	$1,872.82	$2,627.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,715.69 / $2,433.06 / $5,853.06	Facility		$1,715.69	$2,433.06	$5,853.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,381.35 / $2,345.78 / $3,314.06	Professional		$1,381.35	$2,345.78	$3,314.06
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,394.73 / $2,224.40 / $4,608.71	Facility		$1,394.73	$2,224.40	$4,608.71
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,216.15 / $2,081.19 / $2,758.03	Professional		$1,216.15	$2,081.19	$2,758.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $864.90 / $1,413.67 / $5,499.00	Facility		$864.90	$1,413.67	$5,499.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $941.03 / $1,831.34 / $3,938.00	Professional		$941.03	$1,831.34	$3,938.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,293.00 / $6,652.00 / $9,810.00	Facility		$3,293.00	$6,652.00	$9,810.00
United Facility/Professional Professional Modifier Low / Median / High Price $941.03 / $1,686.12 / $2,866.90	Professional		$941.03	$1,686.12	$2,866.90