Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $580.87 / $4,578.00 / $7,840.35	Facility		$580.87	$4,578.00	$7,840.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $558.59 / $781.64 / $1,296.94	Professional		$558.59	$781.64	$1,296.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,743.29 / $12,197.67 / $25,424.06	Facility		$2,743.29	$12,197.67	$25,424.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,082.20 / $1,852.53 / $2,749.75	Professional		$1,082.20	$1,852.53	$2,749.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,933.68 / $2,743.62 / $6,600.14	Facility		$1,933.68	$2,743.62	$6,600.14
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $97.86 / $97.86 / $97.86	Facility	AS	$97.86	$97.86	$97.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,216.38 / $2,004.23 / $3,291.83	Professional		$1,216.38	$2,004.23	$3,291.83
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,757.89 / $2,508.32 / $5,196.96	Facility		$1,757.89	$2,508.32	$5,196.96
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,127.07 / $1,782.58 / $3,001.65	Professional		$1,127.07	$1,782.58	$3,001.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $636.91 / $1,221.13 / $5,830.69	Facility		$636.91	$1,221.13	$5,830.69
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $264.92 / $264.92 / $264.92	Facility	AS	$264.92	$264.92	$264.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $912.67 / $1,681.18 / $4,322.56	Professional		$912.67	$1,681.18	$4,322.56
United Facility/Professional Facility Modifier Low / Median / High Price $5,457.00 / $9,370.00 / $12,774.00	Facility		$5,457.00	$9,370.00	$12,774.00
United Facility/Professional Professional Modifier Low / Median / High Price $902.10 / $1,623.69 / $3,036.33	Professional		$902.10	$1,623.69	$3,036.33