Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $4,168.69 / $6,456.54	Facility		$691.83	$4,168.69	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $1,819.70	Professional		$691.83	$870.96	$1,819.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $12,589.25 / $37,153.52	Facility		$7,943.28	$12,589.25	$37,153.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,621.81 / $2,630.27	Professional		$1,096.48	$1,621.81	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,630.27 / $6,165.95	Facility		$1,862.09	$2,630.27	$6,165.95
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility	22	$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility	52	$1,000.00	$1,000.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,238.72 / $3,388.44	Professional		$1,479.11	$2,238.72	$3,388.44
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,511.89 / $4,897.79	Facility		$1,995.26	$2,511.89	$4,897.79
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $2,818.38	Professional		$1,348.96	$1,905.46	$2,818.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,187.76 / $10,471.29	Facility		$977.24	$2,187.76	$10,471.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,584.89 / $3,235.94	Professional		$933.25	$1,584.89	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $8,709.64 / $13,489.63	Facility		$3,311.31	$8,709.64	$13,489.63
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,548.82 / $2,818.38	Professional		$912.01	$1,548.82	$2,818.38