Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.24 / $5,907.00 / $8,266.27	Facility		$563.24	$5,907.00	$8,266.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.24 / $696.96 / $2,504.61	Professional		$563.24	$696.96	$2,504.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,722.50 / $5,396.85 / $11,503.06	Facility		$2,722.50	$5,396.85	$11,503.06
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $6,310.01 / $11,198.08 / $19,634.84	Facility	50	$6,310.01	$11,198.08	$19,634.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $992.27 / $1,596.44 / $2,083.12	Professional		$992.27	$1,596.44	$2,083.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,371.34 / $1,945.73 / $4,680.72	Facility		$1,371.34	$1,945.73	$4,680.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $63.83 / $63.83 / $63.83	Facility	AS	$63.83	$63.83	$63.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,028.49 / $1,638.36 / $2,433.21	Professional		$1,028.49	$1,638.36	$2,433.21
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,246.67 / $1,778.87 / $3,685.61	Facility		$1,246.67	$1,778.87	$3,685.61
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $931.16 / $1,464.80 / $2,231.40	Professional		$931.16	$1,464.80	$2,231.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $617.77 / $1,143.39 / $5,961.14	Facility		$617.77	$1,143.39	$5,961.14
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $145.18 / $145.18 / $145.18	Facility	AS	$145.18	$145.18	$145.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $642.72 / $1,179.34 / $2,464.86	Professional		$642.72	$1,179.34	$2,464.86
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 $642.72 / $1,179.34 / $2,190.12	Professional		$642.72	$1,179.34	$2,190.12