Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $431.30 / $2,969.15 / $7,679.26	Facility		$431.30	$2,969.15	$7,679.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,507.00 / $6,507.00 / $6,507.00	Facility	50	$6,507.00	$6,507.00	$6,507.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.86 / $545.14 / $2,191.00	Professional		$393.86	$545.14	$2,191.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,445.23 / $6,669.88 / $14,092.16	Facility		$2,445.23	$6,669.88	$14,092.16
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $8,691.53 / $13,186.96 / $23,122.16	Facility	50	$8,691.53	$13,186.96	$23,122.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $850.34 / $1,354.11 / $2,032.98	Professional		$850.34	$1,354.11	$2,032.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,378.79 / $1,955.29 / $4,703.71	Facility		$1,378.79	$1,955.29	$4,703.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $984.53 / $1,724.79 / $2,404.19	Professional		$984.53	$1,724.79	$2,404.19
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,120.84 / $1,787.60 / $3,703.71	Facility		$1,120.84	$1,787.60	$3,703.71
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $869.68 / $1,388.22 / $2,224.53	Professional		$869.68	$1,388.22	$2,224.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $545.14 / $1,019.04 / $6,983.40	Facility		$545.14	$1,019.04	$6,983.40
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,984.39 / $1,984.39 / $7,805.20	Facility	50	$1,984.39	$1,984.39	$7,805.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $737.73 / $1,510.29 / $3,379.68	Professional		$737.73	$1,510.29	$3,379.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,735.00 / $4,974.00 / $8,812.00	Facility		$2,735.00	$4,974.00	$8,812.00
United Facility/Professional Professional Modifier Low / Median / High Price $737.73 / $1,308.55 / $2,191.39	Professional		$737.73	$1,308.55	$2,191.39