Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $7,413.10 / $12,022.64	Facility		$2,570.40	$7,413.10	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $758.58 / $2,290.87	Professional		$478.63	$758.58	$2,290.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $6,456.54 / $13,489.63	Facility		$3,890.45	$6,456.54	$13,489.63
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $5,754.40 / $12,589.25 / $23,442.29	Facility	50	$5,754.40	$12,589.25	$23,442.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,288.25 / $1,905.46	Professional		$831.76	$1,288.25	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,819.70 / $4,365.16	Facility		$1,148.15	$1,819.70	$4,365.16
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility	22	$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $89.13 / $89.13 / $89.13	Facility	AS	$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,412.54 / $2,187.76	Professional		$831.76	$1,412.54	$2,187.76
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $3,467.37	Facility		$1,412.54	$1,778.28	$3,467.37
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,258.93 / $1,995.26	Professional		$870.96	$1,258.93	$1,995.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,047.13 / $6,918.31	Facility		$549.54	$1,047.13	$6,918.31
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $9,332.54 / $9,332.54 / $11,748.98	Facility	50	$9,332.54	$9,332.54	$11,748.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $977.24 / $4,073.80	Professional		$524.81	$977.24	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $5,495.41 / $10,000.00	Facility		$2,089.30	$5,495.41	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $912.01 / $1,778.28	Professional		$512.86	$912.01	$1,778.28