Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.09 / $939.41 / $2,525.00	Facility		$254.09	$939.41	$2,525.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.12 / $868.16 / $1,384.88	Professional		$250.12	$868.16	$1,384.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $1,109.67 / $2,175.02	Facility		$0.98	$1,109.67	$2,175.02
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $0.02 / $1.50 / $1.50	Facility	50	$0.02	$1.50	$1.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.95 / $1,176.94 / $2,796.98	Professional		$512.95	$1,176.94	$2,796.98
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $754.89 / $1,584.68 / $4,195.47	Professional	50	$754.89	$1,584.68	$4,195.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,731.09 / $2,903.67 / $6,985.17	Facility		$1,731.09	$2,903.67	$6,985.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.21 / $991.64 / $3,103.83	Professional		$374.21	$991.64	$3,103.83
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,612.24 / $2,560.09 / $5,500.14	Facility		$1,612.24	$2,560.09	$5,500.14
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $487.43 / $1,193.64 / $2,706.68	Professional		$487.43	$1,193.64	$2,706.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $322.26 / $719.51 / $2,092.15	Facility		$322.26	$719.51	$2,092.15
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,585.00 / $1,585.00 / $1,585.00	Facility	50	$1,585.00	$1,585.00	$1,585.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $886.00 / $1,830.70 / $7,304.82	Professional		$886.00	$1,830.70	$7,304.82
United Facility/Professional Facility Modifier Low / Median / High Price $563.00 / $1,749.00 / $2,883.00	Facility		$563.00	$1,749.00	$2,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $886.00 / $1,566.85 / $3,194.90	Professional		$886.00	$1,566.85	$3,194.90