Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.73 / $855.86 / $4,557.00	Facility		$508.73	$855.86	$4,557.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.97 / $731.29 / $1,291.54	Professional		$469.97	$731.29	$1,291.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,531.34 / $11,253.87 / $25,424.06	Facility		$2,531.34	$11,253.87	$25,424.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $997.38 / $1,743.78 / $2,942.13	Professional		$997.38	$1,743.78	$2,942.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,090.26 / $2,965.78 / $7,134.59	Facility		$2,090.26	$2,965.78	$7,134.59
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $86.51 / $86.51 / $86.51	Facility	AS	$86.51	$86.51	$86.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,101.43 / $1,912.78 / $3,533.54	Professional		$1,101.43	$1,912.78	$3,533.54
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,709.61 / $2,711.44 / $5,617.79	Facility		$1,709.61	$2,711.44	$5,617.79
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,090.52 / $1,759.08 / $3,222.06	Professional		$1,090.52	$1,759.08	$3,222.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $674.48 / $1,042.47 / $2,383.62	Facility		$674.48	$1,042.47	$2,383.62
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $233.88 / $233.88 / $233.88	Facility	AS	$233.88	$233.88	$233.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $903.66 / $1,720.46 / $4,081.00	Professional		$903.66	$1,720.46	$4,081.00
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 $938.75 / $1,656.00 / $3,245.29	Professional		$938.75	$1,656.00	$3,245.29