Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $595.85 / $4,828.00 / $8,277.82	Facility		$595.85	$4,828.00	$8,277.82
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $70.09 / $223.64 / $223.64	Facility	53	$70.09	$223.64	$223.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.74 / $1,077.25 / $3,293.65	Professional		$307.74	$1,077.25	$3,293.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,757.76 / $6,498.38 / $12,890.36	Facility		$3,757.76	$6,498.38	$12,890.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $593.34 / $1,447.75 / $3,270.35	Professional		$593.34	$1,447.75	$3,270.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,409.32 / $3,418.47 / $8,223.60	Facility		$2,409.32	$3,418.47	$8,223.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $727.52 / $1,599.66 / $3,986.74	Professional		$727.52	$1,599.66	$3,986.74
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,898.08 / $3,125.30 / $6,475.28	Facility		$1,898.08	$3,125.30	$6,475.28
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $675.12 / $1,569.49 / $3,229.32	Professional		$675.12	$1,569.49	$3,229.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $693.20 / $3,020.50 / $6,155.12	Facility		$693.20	$3,020.50	$6,155.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,430.64 / $2,580.59 / $5,494.00	Professional		$1,430.64	$2,580.59	$5,494.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,256.00 / $4,968.00 / $9,787.00	Facility		$3,256.00	$4,968.00	$9,787.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,153.25 / $2,166.32 / $4,394.87	Professional		$1,153.25	$2,166.32	$4,394.87