Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.95 / $1,686.40 / $14,800.60	Facility		$223.95	$1,686.40	$14,800.60
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $111.98 / $690.03 / $690.03	Facility	52	$111.98	$690.03	$690.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.69 / $814.17 / $1,890.43	Professional		$213.69	$814.17	$1,890.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.57 / $5,890.92 / $13,308.42	Facility		$1,041.57	$5,890.92	$13,308.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.74 / $1,290.00 / $4,221.63	Professional		$390.74	$1,290.00	$4,221.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,168.60 / $4,493.46 / $10,809.64	Facility		$3,168.60	$4,493.46	$10,809.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.72 / $1,088.01 / $5,205.35	Professional		$508.72	$1,088.01	$5,205.35
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,575.84 / $4,108.10 / $8,511.53	Facility		$2,575.84	$4,108.10	$8,511.53
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $452.51 / $1,455.54 / $4,522.50	Professional		$452.51	$1,455.54	$4,522.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $365.20 / $2,067.08 / $4,974.00	Facility		$365.20	$2,067.08	$4,974.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $3,167.98 / $3,167.98 / $3,167.98	Facility	52	$3,167.98	$3,167.98	$3,167.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,254.00 / $3,131.62 / $6,020.18	Professional		$1,254.00	$3,131.62	$6,020.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,735.00 / $4,974.00 / $8,812.00	Facility		$2,735.00	$4,974.00	$8,812.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,248.20 / $2,713.32 / $4,758.82	Professional		$1,248.20	$2,713.32	$4,758.82