Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $593.40 / $4,776.00 / $8,266.27	Facility		$593.40	$4,776.00	$8,266.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $528.78 / $601.90 / $1,602.86	Professional		$528.78	$601.90	$1,602.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,768.64 / $6,134.65 / $11,503.06	Facility		$2,768.64	$6,134.65	$11,503.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,044.58 / $1,682.23 / $2,195.07	Professional		$1,044.58	$1,682.23	$2,195.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,443.74 / $2,048.46 / $4,927.84	Facility		$1,443.74	$2,048.46	$4,927.84
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $67.26 / $67.26 / $67.26	Facility	AS	$67.26	$67.26	$67.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,082.92 / $1,725.06 / $2,561.98	Professional		$1,082.92	$1,725.06	$2,561.98
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,312.49 / $1,872.78 / $3,880.19	Facility		$1,312.49	$1,872.78	$3,880.19
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $980.44 / $1,542.32 / $2,349.48	Professional		$980.44	$1,542.32	$2,349.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $632.87 / $1,203.20 / $6,216.00	Facility		$632.87	$1,203.20	$6,216.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $152.90 / $152.90 / $152.90	Facility	AS	$152.90	$152.90	$152.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $476.12 / $1,110.47 / $2,489.41	Professional		$476.12	$1,110.47	$2,489.41
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 $672.82 / $1,157.99 / $2,384.25	Professional		$672.82	$1,157.99	$2,384.25