Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.80 / $6,205.00 / $9,018.00	Facility		$386.80	$6,205.00	$9,018.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,214.60 / $9,393.00 / $9,862.50	Facility	50	$5,214.60	$9,393.00	$9,862.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.80 / $600.90 / $6,733.44	Professional		$386.80	$600.90	$6,733.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,128.58 / $8,328.96 / $18,388.59	Facility		$2,128.58	$8,328.96	$18,388.59
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $11,798.61 / $17,901.08 / $31,387.96	Facility	50	$11,798.61	$17,901.08	$31,387.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $685.68 / $1,061.70 / $1,490.46	Professional		$685.68	$1,061.70	$1,490.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $979.55 / $1,389.13 / $3,341.74	Facility		$979.55	$1,389.13	$3,341.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $796.73 / $1,339.29 / $1,911.45	Professional		$796.73	$1,339.29	$1,911.45
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $796.31 / $1,270.00 / $2,631.29	Facility		$796.31	$1,270.00	$2,631.29
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $701.44 / $1,200.38 / $1,590.76	Professional		$701.44	$1,200.38	$1,590.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $701.61 / $3,691.38 / $8,574.00	Facility		$701.61	$3,691.38	$8,574.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,737.24 / $5,265.34 / $10,295.10	Facility	50	$2,737.24	$5,265.34	$10,295.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $560.39 / $1,076.05 / $2,160.26	Professional		$560.39	$1,076.05	$2,160.26
United Facility/Professional Facility Modifier Low / Median / High Price $3,940.00 / $8,689.00 / $11,531.00	Facility		$3,940.00	$8,689.00	$11,531.00
United Facility/Professional Professional Modifier Low / Median / High Price $541.90 / $1,076.05 / $1,659.13	Professional		$541.90	$1,076.05	$1,659.13