Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $718.75 / $718.75 / $6,636.70	Facility		$718.75	$718.75	$6,636.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $669.58 / $736.48 / $2,820.00	Professional		$669.58	$736.48	$2,820.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,706.64 / $5,382.37 / $10,098.06	Facility		$2,706.64	$5,382.37	$10,098.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,297.28 / $2,078.54 / $2,712.19	Professional		$1,297.28	$2,078.54	$2,712.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,740.06 / $2,468.90 / $5,939.27	Facility		$1,740.06	$2,468.90	$5,939.27
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $83.10 / $83.10 / $83.10	Facility	AS	$83.10	$83.10	$83.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,304.38 / $2,077.85 / $3,085.92	Professional		$1,304.38	$2,077.85	$3,085.92
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,581.88 / $2,257.16 / $4,676.59	Facility		$1,581.88	$2,257.16	$4,676.59
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,180.94 / $1,857.74 / $2,829.97	Professional		$1,180.94	$1,857.74	$2,829.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $747.82 / $1,449.66 / $4,977.35	Facility		$747.82	$1,449.66	$4,977.35
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $185.47 / $185.47 / $185.47	Facility	AS	$185.47	$185.47	$185.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $794.75 / $1,427.46 / $2,892.23	Professional		$794.75	$1,427.46	$2,892.23
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 $794.75 / $1,358.10 / $2,882.45	Professional		$794.75	$1,358.10	$2,882.45