Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.75 / $5,980.00 / $9,587.00	Facility		$543.75	$5,980.00	$9,587.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,794.50 / $8,794.50 / $11,995.22	Facility	50	$8,794.50	$8,794.50	$11,995.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $543.75 / $719.46 / $1,083.69	Professional		$543.75	$719.46	$1,083.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,530.68 / $9,234.61 / $16,508.77	Facility		$4,530.68	$9,234.61	$16,508.77
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $7,949.16 / $12,060.61 / $21,147.21	Facility	50	$7,949.16	$12,060.61	$21,147.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,040.16 / $1,700.00 / $2,611.32	Professional		$1,040.16	$1,700.00	$2,611.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,826.87 / $2,590.73 / $6,232.35	Facility		$1,826.87	$2,590.73	$6,232.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,274.45 / $2,189.31 / $3,159.80	Professional		$1,274.45	$2,189.31	$3,159.80
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,485.11 / $2,368.55 / $4,907.35	Facility		$1,485.11	$2,368.55	$4,907.35
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,103.90 / $1,824.51 / $2,923.67	Professional		$1,103.90	$1,824.51	$2,923.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $778.06 / $1,398.76 / $9,370.00	Facility		$778.06	$1,398.76	$9,370.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $16,368.27 / $16,368.27 / $16,368.27	Facility	50	$16,368.27	$16,368.27	$16,368.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,012.96 / $2,056.00 / $5,000.00	Professional		$1,012.96	$2,056.00	$5,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,577.00 / $10,743.00 / $12,774.00	Facility		$5,577.00	$10,743.00	$12,774.00
United Facility/Professional Professional Modifier Low / Median / High Price $985.50 / $1,934.80 / $2,983.21	Professional		$985.50	$1,934.80	$2,983.21