Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.12 / $2,685.00 / $5,833.72	Facility		$413.12	$2,685.00	$5,833.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.23 / $424.29 / $667.23	Professional		$382.23	$424.29	$667.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,869.85 / $3,739.30 / $6,359.82	Facility		$1,869.85	$3,739.30	$6,359.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $740.47 / $1,189.86 / $1,552.60	Professional		$740.47	$1,189.86	$1,552.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,004.30 / $1,424.96 / $3,427.94	Facility		$1,004.30	$1,424.96	$3,427.94
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $47.57 / $47.57 / $47.57	Facility	AS	$47.57	$47.57	$47.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $754.48 / $1,201.85 / $1,784.95	Professional		$754.48	$1,201.85	$1,784.95
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $913.00 / $1,302.76 / $2,699.16	Facility		$913.00	$1,302.76	$2,699.16
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $683.08 / $1,074.55 / $1,636.90	Professional		$683.08	$1,074.55	$1,636.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $429.14 / $838.76 / $4,746.00	Facility		$429.14	$838.76	$4,746.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $106.93 / $106.93 / $106.93	Facility	AS	$106.93	$106.93	$106.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $451.64 / $815.88 / $1,659.25	Professional		$451.64	$815.88	$1,659.25
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 $482.34 / $893.43 / $1,643.61	Professional		$482.34	$893.43	$1,643.61