Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $11,220.18	Facility		$758.58	$758.58	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $851.14 / $1,380.38	Professional		$562.34	$851.14	$1,380.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $10,964.78 / $24,547.09	Facility		$4,570.88	$10,964.78	$24,547.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $2,691.53	Professional		$1,258.93	$1,698.24	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,511.89 / $6,025.60	Facility		$1,778.28	$2,511.89	$6,025.60
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility	22	$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $125.89 / $125.89 / $125.89	Facility	AS	$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,137.96 / $3,235.94	Professional		$1,412.54	$2,137.96	$3,235.94
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,398.83 / $4,786.30	Facility		$1,949.84	$2,398.83	$4,786.30
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $2,754.23	Professional		$1,348.96	$1,819.70	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,548.82 / $13,182.57	Facility		$851.14	$1,548.82	$13,182.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,479.11 / $3,019.95	Professional		$831.76	$1,479.11	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $10,000.00 / $14,125.38	Facility		$4,897.79	$10,000.00	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,479.11 / $2,951.21	Professional		$831.76	$1,479.11	$2,951.21