Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.47 / $808.53 / $8,485.02	Facility		$645.47	$808.53	$8,485.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.50 / $808.53 / $1,248.69	Professional		$613.50	$808.53	$1,248.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $288.10 / $2,037.06 / $4,938.00	Professional	50	$288.10	$2,037.06	$4,938.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,095.39 / $6,631.62 / $14,092.16	Facility		$3,095.39	$6,631.62	$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 $1,235.43 / $1,962.49 / $2,938.62	Professional		$1,235.43	$1,962.49	$2,938.62
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,753.19 / $2,852.13 / $4,280.12	Professional	50	$1,753.19	$2,852.13	$4,280.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,039.96 / $2,892.92 / $6,959.31	Facility		$2,039.96	$2,892.92	$6,959.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,485.99 / $2,504.88 / $3,558.79	Professional		$1,485.99	$2,504.88	$3,558.79
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,658.34 / $2,644.82 / $5,479.78	Facility		$1,658.34	$2,644.82	$5,479.78
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,300.85 / $2,054.90 / $3,292.85	Professional		$1,300.85	$2,054.90	$3,292.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $917.05 / $1,366.42 / $4,746.00	Facility		$917.05	$1,366.42	$4,746.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,952.25 / $3,392.12 / $7,404.35	Facility	50	$1,952.25	$3,392.12	$7,404.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,140.93 / $2,293.48 / $4,973.20	Professional		$1,140.93	$2,293.48	$4,973.20
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 $1,109.02 / $1,987.13 / $3,327.78	Professional		$1,109.02	$1,987.13	$3,327.78