Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.62 / $343.86 / $2,525.00	Facility		$216.62	$343.86	$2,525.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.38 / $305.91 / $478.97	Professional		$199.38	$305.91	$478.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,544.34 / $3,234.68 / $5,761.70	Facility		$1,544.34	$3,234.68	$5,761.70
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,696.87 / $5,608.96 / $9,834.81	Facility	50	$3,696.87	$5,608.96	$9,834.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.82 / $606.23 / $1,094.50	Professional		$367.82	$606.23	$1,094.50
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $531.95 / $878.93 / $1,592.51	Professional	50	$531.95	$878.93	$1,592.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $759.72 / $1,077.38 / $2,591.78	Facility		$759.72	$1,077.38	$2,591.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.01 / $767.48 / $1,294.90	Professional		$434.01	$767.48	$1,294.90
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $617.60 / $984.98 / $2,040.78	Facility		$617.60	$984.98	$2,040.78
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $415.40 / $645.23 / $1,202.57	Professional		$415.40	$645.23	$1,202.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $285.83 / $515.91 / $4,197.35	Facility		$285.83	$515.91	$4,197.35
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,800.50 / $6,648.57 / $8,774.10	Facility	50	$2,800.50	$6,648.57	$8,774.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $397.23 / $745.30 / $1,489.04	Professional		$397.23	$745.30	$1,489.04
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $976.25 / $976.25 / $976.25	Professional	50	$976.25	$976.25	$976.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,580.95 / $2,757.00 / $6,275.00	Facility		$1,580.95	$2,757.00	$6,275.00
United Facility/Professional Professional Modifier Low / Median / High Price $372.68 / $632.70 / $1,248.11	Professional		$372.68	$632.70	$1,248.11