Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.36 / $4,035.46 / $4,557.00	Facility		$465.36	$4,035.46	$4,557.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.36 / $701.55 / $1,284.93	Professional		$465.36	$701.55	$1,284.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.35 / $5,136.31 / $11,503.06	Facility		$2,275.35	$5,136.31	$11,503.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $875.27 / $1,557.99 / $2,425.96	Professional		$875.27	$1,557.99	$2,425.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,720.70 / $2,441.42 / $5,873.18	Facility		$1,720.70	$2,441.42	$5,873.18
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $78.93 / $78.93 / $78.93	Facility	AS	$78.93	$78.93	$78.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,002.44 / $1,656.37 / $2,927.83	Professional		$1,002.44	$1,656.37	$2,927.83
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,563.63 / $2,232.05 / $4,624.55	Facility		$1,563.63	$2,232.05	$4,624.55
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $952.02 / $1,549.23 / $2,669.74	Professional		$952.02	$1,549.23	$2,669.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $560.52 / $966.50 / $2,106.94	Facility		$560.52	$966.50	$2,106.94
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $213.75 / $213.75 / $213.75	Facility	AS	$213.75	$213.75	$213.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $817.39 / $1,463.87 / $3,482.72	Professional		$817.39	$1,463.87	$3,482.72
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 $765.37 / $1,452.08 / $2,811.81	Professional		$765.37	$1,452.08	$2,811.81