Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.58 / $1,050.68 / $2,525.00	Facility		$153.58	$1,050.68	$2,525.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.58 / $939.65 / $1,393.37	Professional		$153.58	$939.65	$1,393.37
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $9,096.70 / $9,096.70 / $9,587.94	Professional	50	$9,096.70	$9,096.70	$9,587.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,383.37 / $2,943.74 / $6,031.72	Facility		$1,383.37	$2,943.74	$6,031.72
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,870.11 / $5,871.81 / $10,295.70	Facility	50	$3,870.11	$5,871.81	$10,295.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.74 / $894.00 / $3,188.42	Professional		$270.74	$894.00	$3,188.42
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $406.11 / $1,341.00 / $4,782.63	Professional	50	$406.11	$1,341.00	$4,782.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,392.03 / $3,392.20 / $8,160.39	Facility		$2,392.03	$3,392.20	$8,160.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.60 / $1,557.16 / $3,916.24	Professional		$355.60	$1,557.16	$3,916.24
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,944.55 / $3,101.28 / $6,425.50	Facility		$1,944.55	$3,101.28	$6,425.50
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $311.37 / $1,001.56 / $3,402.50	Professional		$311.37	$1,001.56	$3,402.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $228.46 / $1,537.41 / $4,013.00	Facility		$228.46	$1,537.41	$4,013.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,457.99 / $2,862.55 / $5,502.75	Professional		$1,457.99	$2,862.55	$5,502.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,296.00 / $3,500.00 / $6,361.00	Facility		$2,296.00	$3,500.00	$6,361.00
United Facility/Professional Professional Modifier Low / Median / High Price $557.62 / $2,209.42 / $4,153.35	Professional		$557.62	$2,209.42	$4,153.35