Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $606.48 / $1,058.19 / $4,828.00	Facility		$606.48	$1,058.19	$4,828.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.97 / $837.89 / $1,626.53	Professional		$549.97	$837.89	$1,626.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,972.69 / $11,253.87 / $28,063.36	Facility		$2,972.69	$11,253.87	$28,063.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,169.13 / $2,069.85 / $3,597.90	Professional		$1,169.13	$2,069.85	$3,597.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,558.32 / $3,629.89 / $8,732.19	Facility		$2,558.32	$3,629.89	$8,732.19
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $102.19 / $102.19 / $102.19	Facility	AS	$102.19	$102.19	$102.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,276.46 / $2,322.98 / $4,176.31	Professional		$1,276.46	$2,322.98	$4,176.31
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,080.80 / $3,318.59 / $6,875.74	Facility		$2,080.80	$3,318.59	$6,875.74
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,285.49 / $2,176.67 / $3,925.24	Professional		$1,285.49	$2,176.67	$3,925.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $790.13 / $1,314.63 / $3,991.00	Facility		$790.13	$1,314.63	$3,991.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $275.97 / $275.97 / $275.97	Facility	AS	$275.97	$275.97	$275.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,125.57 / $2,141.48 / $4,527.60	Professional		$1,125.57	$2,141.48	$4,527.60
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 $1,125.57 / $2,006.49 / $4,040.08	Professional		$1,125.57	$2,006.49	$4,040.08