Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.33 / $5,741.62 / $8,504.04	Facility		$282.33	$5,741.62	$8,504.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.33 / $1,108.04 / $2,436.98	Professional		$282.33	$1,108.04	$2,436.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,454.26 / $1,454.26 / $1,454.26	Professional	50	$1,454.26	$1,454.26	$1,454.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,505.60 / $6,498.38 / $12,890.36	Facility		$3,505.60	$6,498.38	$12,890.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.63 / $1,410.50 / $3,234.54	Professional		$489.63	$1,410.50	$3,234.54
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $715.31 / $1,798.40 / $4,841.16	Professional	50	$715.31	$1,798.40	$4,841.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,422.35 / $3,435.20 / $8,263.83	Facility		$2,422.35	$3,435.20	$8,263.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $574.62 / $1,767.90 / $4,029.91	Professional		$574.62	$1,767.90	$4,029.91
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,907.36 / $3,140.59 / $6,506.95	Facility		$1,907.36	$3,140.59	$6,506.95
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $544.16 / $1,586.49 / $3,501.25	Professional		$544.16	$1,586.49	$3,501.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $477.15 / $2,174.23 / $7,589.09	Facility		$477.15	$2,174.23	$7,589.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,458.76 / $2,824.85 / $9,157.00	Professional		$1,458.76	$2,824.85	$9,157.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,293.00 / $6,652.00 / $9,810.00	Facility		$3,293.00	$6,652.00	$9,810.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,301.18 / $2,316.50 / $4,336.76	Professional		$1,301.18	$2,316.50	$4,336.76