Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.39 / $2,703.13 / $4,151.03	Facility		$521.39	$2,703.13	$4,151.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $480.10 / $545.77 / $2,009.62	Professional		$480.10	$545.77	$2,009.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,253.89 / $5,213.67 / $10,505.12	Facility		$2,253.89	$5,213.67	$10,505.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $913.51 / $1,471.49 / $1,920.07	Professional		$913.51	$1,471.49	$1,920.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,264.43 / $1,794.04 / $4,315.81	Facility		$1,264.43	$1,794.04	$4,315.81
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $58.83 / $58.83 / $58.83	Facility	AS	$58.83	$58.83	$58.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $947.16 / $1,508.81 / $2,240.81	Professional		$947.16	$1,508.81	$2,240.81
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,149.48 / $1,640.18 / $3,398.28	Facility		$1,149.48	$1,640.18	$3,398.28
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $857.53 / $1,348.97 / $2,054.94	Professional		$857.53	$1,348.97	$2,054.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $528.65 / $979.30 / $2,940.00	Facility		$528.65	$979.30	$2,940.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $133.86 / $133.86 / $133.86	Facility	AS	$133.86	$133.86	$133.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $561.96 / $1,021.74 / $2,066.91	Professional		$561.96	$1,021.74	$2,066.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,187.00 / $2,872.00 / $4,241.00	Facility		$1,187.00	$2,872.00	$4,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $557.58 / $1,001.48 / $1,975.89	Professional		$557.58	$1,001.48	$1,975.89