Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.00 / $794.00 / $6,575.00	Facility		$794.00	$794.00	$6,575.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.00 / $883.08 / $1,602.82	Professional		$794.00	$883.08	$1,602.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.61 / $5,357.75 / $10,376.78	Facility		$3,028.61	$5,357.75	$10,376.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,167.45 / $1,575.93 / $2,606.63	Professional		$1,167.45	$1,575.93	$2,606.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,847.82 / $2,621.78 / $6,307.06	Facility		$1,847.82	$2,621.78	$6,307.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,254.54 / $2,059.03 / $3,245.77	Professional		$1,254.54	$2,059.03	$3,245.77
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,502.92 / $2,396.94 / $4,966.18	Facility		$1,502.92	$2,396.94	$4,966.18
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,085.54 / $1,748.70 / $2,976.56	Professional		$1,085.54	$1,748.70	$2,976.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $815.83 / $1,404.21 / $5,499.18	Facility		$815.83	$1,404.21	$5,499.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $806.39 / $1,398.75 / $3,033.89	Professional		$806.39	$1,398.75	$3,033.89
United Facility/Professional Facility Modifier Low / Median / High Price $3,190.00 / $4,561.46 / $8,193.00	Facility		$3,190.00	$4,561.46	$8,193.00
United Facility/Professional Professional Modifier Low / Median / High Price $831.69 / $1,420.78 / $2,878.70	Professional		$831.69	$1,420.78	$2,878.70