Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.65 / $238.65 / $2,168.00	Facility		$238.65	$238.65	$2,168.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.65 / $389.25 / $2,104.00	Professional		$238.65	$389.25	$2,104.00
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $16.22 / $63.86 / $313.02	Professional	AS	$16.22	$63.86	$313.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $196.67 / $3,843.47	Facility		$0.98	$196.67	$3,843.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $439.26 / $696.26 / $903.29	Professional		$439.26	$696.26	$903.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $573.29 / $813.41 / $1,956.77	Facility		$573.29	$813.41	$1,956.77
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $179.42 / $179.42 / $179.42	Facility	62	$179.42	$179.42	$179.42
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $28.71 / $28.71 / $28.71	Facility	AS	$28.71	$28.71	$28.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.54 / $682.65 / $1,013.84	Professional		$428.54	$682.65	$1,013.84
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $521.16 / $743.65 / $1,540.76	Facility		$521.16	$743.65	$1,540.76
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $387.98 / $611.55 / $929.75	Professional		$387.98	$611.55	$929.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $238.65 / $476.78 / $2,720.00	Facility		$238.65	$476.78	$2,720.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $384.88 / $384.88 / $384.88	Facility	62	$384.88	$384.88	$384.88
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $61.58 / $61.58 / $61.58	Facility	AS	$61.58	$61.58	$61.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $298.52 / $536.01 / $1,026.94	Professional		$298.52	$536.01	$1,026.94
Medica Facility/Professional Professional Modifier AS Low / Median / High Price $123.34 / $123.34 / $123.34	Professional	AS	$123.34	$123.34	$123.34
United Facility/Professional Facility Modifier Low / Median / High Price $382.00 / $1,727.00 / $2,883.00	Facility		$382.00	$1,727.00	$2,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $279.52 / $473.34 / $978.68	Professional		$279.52	$473.34	$978.68