Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $994.84 / $994.84 / $2,525.00	Facility		$994.84	$994.84	$2,525.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $973.90 / $1,002.67 / $1,584.80	Professional		$973.90	$1,002.67	$1,584.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,677.15 / $6,337.44 / $11,491.08	Facility		$3,677.15	$6,337.44	$11,491.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,763.46 / $2,817.29 / $3,554.49	Professional		$1,763.46	$2,817.29	$3,554.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,405.94 / $3,413.70 / $8,212.11	Facility		$2,405.94	$3,413.70	$8,212.11
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $112.96 / $112.96 / $112.96	Facility	AS	$112.96	$112.96	$112.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,797.35 / $2,863.14 / $4,252.21	Professional		$1,797.35	$2,863.14	$4,252.21
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,187.23 / $3,120.94 / $6,466.23	Facility		$2,187.23	$3,120.94	$6,466.23
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,627.27 / $2,566.56 / $3,899.52	Professional		$1,627.27	$2,566.56	$3,899.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,021.98 / $1,858.14 / $4,974.00	Facility		$1,021.98	$1,858.14	$4,974.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $255.18 / $255.18 / $255.18	Facility	AS	$255.18	$255.18	$255.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,095.75 / $1,989.84 / $3,985.20	Professional		$1,095.75	$1,989.84	$3,985.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,412.00 / $4,746.00 / $8,812.00	Facility		$2,412.00	$4,746.00	$8,812.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,095.75 / $1,992.28 / $3,935.21	Professional		$1,095.75	$1,992.28	$3,935.21