Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $5,011.87	Facility		$645.65	$645.65	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $758.58 / $1,202.26	Professional		$645.65	$758.58	$1,202.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $9,772.37 / $22,387.21	Facility		$4,073.80	$9,772.37	$22,387.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,584.89 / $2,570.40	Professional		$1,071.52	$1,584.89	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,570.40 / $6,025.60	Facility		$1,819.70	$2,570.40	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,137.96 / $3,235.94	Professional		$1,412.54	$2,137.96	$3,235.94
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,454.71 / $4,786.30	Facility		$1,949.84	$2,454.71	$4,786.30
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $2,754.23	Professional		$1,288.25	$1,819.70	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,412.54 / $6,918.31	Facility		$851.14	$1,412.54	$6,918.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,479.11 / $3,890.45	Professional		$870.96	$1,479.11	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,370.32 / $10,000.00	Facility		$1,584.89	$5,370.32	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,445.44 / $2,818.38	Professional		$812.83	$1,445.44	$2,818.38