Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.68 / $419.68 / $5,743.29	Facility		$419.68	$419.68	$5,743.29
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $209.84 / $209.84 / $209.84	Facility	52	$209.84	$209.84	$209.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.43 / $422.95 / $668.31	Professional		$385.43	$422.95	$668.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,981.31 / $5,710.32 / $11,503.06	Facility		$1,981.31	$5,710.32	$11,503.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $733.88 / $1,188.01 / $1,550.17	Professional		$733.88	$1,188.01	$1,550.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,025.34 / $1,454.82 / $3,499.77	Facility		$1,025.34	$1,454.82	$3,499.77
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $379.98 / $379.98 / $379.98	Facility	52	$379.98	$379.98	$379.98
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $47.50 / $47.50 / $47.50	Facility	AS	$47.50	$47.50	$47.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $766.36 / $1,220.80 / $1,813.07	Professional		$766.36	$1,220.80	$1,813.07
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $932.14 / $1,330.06 / $2,755.73	Facility		$932.14	$1,330.06	$2,755.73
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $693.84 / $1,093.79 / $1,662.69	Professional		$693.84	$1,093.79	$1,662.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $455.76 / $733.17 / $4,746.00	Facility		$455.76	$733.17	$4,746.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $870.38 / $870.38 / $870.38	Facility	52	$870.38	$870.38	$870.38
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $108.80 / $108.80 / $108.80	Facility	AS	$108.80	$108.80	$108.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $465.85 / $857.86 / $1,701.65	Professional		$465.85	$857.86	$1,701.65
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 $465.85 / $825.90 / $1,701.65	Professional		$465.85	$825.90	$1,701.65