Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.40 / $642.40 / $4,828.00	Facility		$642.40	$642.40	$4,828.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $642.40 / $736.06 / $861.71	Professional		$642.40	$736.06	$861.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,953.63 / $8,480.52 / $17,676.25	Facility		$2,953.63	$8,480.52	$17,676.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,195.21 / $1,858.93 / $2,608.31	Professional		$1,195.21	$1,858.93	$2,608.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,702.22 / $2,413.94 / $5,807.09	Facility		$1,702.22	$2,413.94	$5,807.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,370.48 / $2,327.35 / $3,287.96	Professional		$1,370.48	$2,327.35	$3,287.96
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,383.78 / $2,206.92 / $4,572.51	Facility		$1,383.78	$2,206.92	$4,572.51
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,206.58 / $2,064.81 / $2,736.32	Professional		$1,206.58	$2,064.81	$2,736.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $914.34 / $1,402.29 / $5,499.00	Facility		$914.34	$1,402.29	$5,499.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $934.06 / $1,818.04 / $3,909.42	Professional		$934.06	$1,818.04	$3,909.42
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 $933.52 / $1,673.88 / $2,847.41	Professional		$933.52	$1,673.88	$2,847.41