Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.99 / $769.99 / $6,781.00	Facility		$769.99	$769.99	$6,781.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $769.99 / $856.50 / $1,556.61	Professional		$769.99	$856.50	$1,556.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,292.56 / $6,726.72 / $14,294.22	Facility		$3,292.56	$6,726.72	$14,294.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,132.23 / $1,562.76 / $2,526.86	Professional		$1,132.23	$1,562.76	$2,526.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,790.57 / $2,540.56 / $6,111.67	Facility		$1,790.57	$2,540.56	$6,111.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,216.78 / $1,997.06 / $3,148.08	Professional		$1,216.78	$1,997.06	$3,148.08
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,456.36 / $2,322.67 / $4,812.34	Facility		$1,456.36	$2,322.67	$4,812.34
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,052.86 / $1,696.07 / $2,886.98	Professional		$1,052.86	$1,696.07	$2,886.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $730.80 / $1,340.36 / $6,927.00	Facility		$730.80	$1,340.36	$6,927.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $749.05 / $1,341.44 / $2,917.10	Professional		$749.05	$1,341.44	$2,917.10
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 $751.00 / $1,283.50 / $2,700.42	Professional		$751.00	$1,283.50	$2,700.42