Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.67 / $545.11 / $2,525.00	Facility		$357.67	$545.11	$2,525.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.46 / $545.11 / $839.38	Professional		$353.46	$545.11	$839.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,954.49 / $6,889.31 / $13,089.90	Facility		$3,954.49	$6,889.31	$13,089.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.24 / $1,183.54 / $1,847.63	Professional		$660.24	$1,183.54	$1,847.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,309.05 / $1,857.35 / $4,468.10	Facility		$1,309.05	$1,857.35	$4,468.10
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $59.17 / $59.17 / $59.17	Facility	AS	$59.17	$59.17	$59.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.63 / $1,266.11 / $2,207.02	Professional		$741.63	$1,266.11	$2,207.02
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,190.04 / $1,698.06 / $3,518.19	Facility		$1,190.04	$1,698.06	$3,518.19
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $715.93 / $1,165.03 / $2,012.47	Professional		$715.93	$1,165.03	$2,012.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $464.36 / $727.36 / $1,488.45	Facility		$464.36	$727.36	$1,488.45
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $160.77 / $160.77 / $160.77	Facility	AS	$160.77	$160.77	$160.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $610.49 / $1,108.38 / $2,635.20	Professional		$610.49	$1,108.38	$2,635.20
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 $597.78 / $1,054.48 / $2,056.91	Professional		$597.78	$1,054.48	$2,056.91