Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.83 / $646.83 / $4,828.00	Facility		$646.83	$646.83	$4,828.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.83 / $708.68 / $868.18	Professional		$646.83	$708.68	$868.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,183.56 / $11,886.97 / $26,854.33	Facility		$3,183.56	$11,886.97	$26,854.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,203.05 / $1,871.09 / $2,625.36	Professional		$1,203.05	$1,871.09	$2,625.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,713.17 / $2,429.48 / $5,844.44	Facility		$1,713.17	$2,429.48	$5,844.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,379.31 / $2,342.32 / $3,309.17	Professional		$1,379.31	$2,342.32	$3,309.17
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,392.68 / $2,221.13 / $4,601.93	Facility		$1,392.68	$2,221.13	$4,601.93
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,214.35 / $2,078.13 / $2,753.96	Professional		$1,214.35	$2,078.13	$2,753.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $929.42 / $1,410.98 / $9,255.00	Facility		$929.42	$1,410.98	$9,255.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $940.16 / $1,832.20 / $3,939.85	Professional		$940.16	$1,832.20	$3,939.85
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 $928.84 / $1,840.14 / $2,878.77	Professional		$928.84	$1,840.14	$2,878.77