Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $476.36 / $5,965.00 / $12,138.40	Facility		$476.36	$5,965.00	$12,138.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.81 / $606.75 / $5,978.35	Professional		$463.81	$606.75	$5,978.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,295.48 / $6,742.05 / $12,182.75	Facility		$3,295.48	$6,742.05	$12,182.75
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $6,715.70 / $11,931.16 / $20,986.56	Facility	50	$6,715.70	$11,931.16	$20,986.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $904.62 / $1,530.14 / $1,855.84	Professional		$904.62	$1,530.14	$1,855.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,114.28 / $1,739.10 / $4,183.63	Facility		$1,114.28	$1,739.10	$4,183.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $879.80 / $1,587.24 / $2,182.26	Professional		$879.80	$1,587.24	$2,182.26
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $965.62 / $1,587.04 / $3,294.20	Facility		$965.62	$1,587.04	$3,294.20
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $879.80 / $1,448.10 / $1,995.23	Professional		$879.80	$1,448.10	$1,995.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $546.70 / $1,022.09 / $5,637.78	Facility		$546.70	$1,022.09	$5,637.78
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $9,241.56 / $9,241.56 / $11,638.92	Facility	50	$9,241.56	$9,241.56	$11,638.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $592.11 / $1,191.19 / $4,067.23	Professional		$592.11	$1,191.19	$4,067.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,499.00 / $9,810.00	Facility		$2,100.00	$5,499.00	$9,810.00
United Facility/Professional Professional Modifier Low / Median / High Price $573.30 / $1,073.60 / $2,033.39	Professional		$573.30	$1,073.60	$2,033.39