Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.50 / $367.50 / $4,828.00	Facility		$367.50	$367.50	$4,828.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.50 / $367.50 / $367.50	Professional		$367.50	$367.50	$367.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.69 / $5,762.11 / $12,749.70	Facility		$51.69	$5,762.11	$12,749.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $51.09 / $51.09	Professional		$40.86	$51.09	$51.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $774.88 / $1,098.88 / $2,643.51	Facility		$774.88	$1,098.88	$2,643.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.48 / $954.82 / $1,476.16	Professional		$592.48	$954.82	$1,476.16
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $629.91 / $1,004.64 / $2,081.50	Facility		$629.91	$1,004.64	$2,081.50
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $521.09 / $785.22 / $1,248.72	Professional		$521.09	$785.22	$1,248.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $367.50 / $5,499.00 / $12,111.68	Facility		$367.50	$5,499.00	$12,111.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,295.27 / $2,295.27 / $2,295.27	Professional		$2,295.27	$2,295.27	$2,295.27
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