Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.55 / $4,380.00 / $8,905.29	Facility		$517.55	$4,380.00	$8,905.29
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,835.50 / $6,835.50 / $6,835.50	Facility	50	$6,835.50	$6,835.50	$6,835.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.41 / $517.55 / $854.12	Professional		$468.41	$517.55	$854.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,079.87 / $3,552.32 / $5,711.66	Facility		$2,079.87	$3,552.32	$5,711.66
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,691.19 / $5,560.23 / $9,749.37	Facility	50	$3,691.19	$5,560.23	$9,749.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.58 / $1,457.93 / $1,907.90	Professional		$912.58	$1,457.93	$1,907.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,264.43 / $1,794.04 / $4,315.81	Facility		$1,264.43	$1,794.04	$4,315.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $951.54 / $1,515.78 / $2,251.17	Professional		$951.54	$1,515.78	$2,251.17
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,303.28 / $1,640.18 / $3,398.28	Facility		$1,303.28	$1,640.18	$3,398.28
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $861.49 / $1,355.21 / $2,064.44	Professional		$861.49	$1,355.21	$2,064.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $565.77 / $983.94 / $4,213.68	Facility		$565.77	$983.94	$4,213.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $558.50 / $1,076.42 / $2,046.42	Professional		$558.50	$1,076.42	$2,046.42
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 $546.05 / $1,033.92 / $1,987.23	Professional		$546.05	$1,033.92	$1,987.23