Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.46 / $713.53 / $5,785.98	Facility		$489.46	$713.53	$5,785.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.46 / $713.53 / $1,103.76	Professional		$489.46	$713.53	$1,103.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,397.00 / $5,396.85 / $11,503.06	Facility		$2,397.00	$5,396.85	$11,503.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $918.94 / $1,632.78 / $2,465.86	Professional		$918.94	$1,632.78	$2,465.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,752.69 / $2,486.81 / $5,982.37	Facility		$1,752.69	$2,486.81	$5,982.37
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $83.17 / $83.17 / $83.17	Facility	AS	$83.17	$83.17	$83.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,044.46 / $1,737.80 / $2,986.82	Professional		$1,044.46	$1,737.80	$2,986.82
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,593.35 / $2,273.54 / $4,710.53	Facility		$1,593.35	$2,273.54	$4,710.53
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,008.27 / $1,602.46 / $2,723.53	Professional		$1,008.27	$1,602.46	$2,723.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $656.19 / $1,009.53 / $2,099.03	Facility		$656.19	$1,009.53	$2,099.03
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $224.95 / $224.95 / $224.95	Facility	AS	$224.95	$224.95	$224.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $806.68 / $1,478.42 / $3,800.00	Professional		$806.68	$1,478.42	$3,800.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,121.00 / $5,499.00 / $9,810.00	Facility		$3,121.00	$5,499.00	$9,810.00
United Facility/Professional Professional Modifier Low / Median / High Price $842.73 / $1,568.13 / $2,825.92	Professional		$842.73	$1,568.13	$2,825.92