Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.21 / $1,927.76 / $4,828.00	Facility		$181.21	$1,927.76	$4,828.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.05 / $1,652.15 / $2,578.46	Professional		$166.05	$1,652.15	$2,578.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,847.56 / $10,083.07 / $20,316.56	Facility		$3,847.56	$10,083.07	$20,316.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.00 / $1,251.88 / $5,502.97	Professional		$316.00	$1,251.88	$5,502.97
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $461.67 / $1,877.82 / $8,236.31	Professional	50	$461.67	$1,877.82	$8,236.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,202.89 / $5,960.23 / $14,338.14	Facility		$4,202.89	$5,960.23	$14,338.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.49 / $2,867.41 / $6,892.99	Professional		$378.49	$2,867.41	$6,892.99
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $3,309.37 / $5,449.08 / $11,289.88	Facility		$3,309.37	$5,449.08	$11,289.88
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $349.93 / $2,230.69 / $5,988.75	Professional		$349.93	$2,230.69	$5,988.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $287.82 / $3,331.96 / $12,002.00	Facility		$287.82	$3,331.96	$12,002.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,388.10 / $4,537.50 / $8,225.85	Professional		$2,388.10	$4,537.50	$8,225.85
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $4,039.20 / $4,039.20 / $4,150.58	Professional	50	$4,039.20	$4,039.20	$4,150.58
United Facility/Professional Facility Modifier Low / Median / High Price $5,577.00 / $10,743.00 / $12,774.00	Facility		$5,577.00	$10,743.00	$12,774.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,689.28 / $4,016.35 / $7,861.43	Professional		$1,689.28	$4,016.35	$7,861.43