Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.48 / $689.70 / $3,119.00	Facility		$315.48	$689.70	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.69 / $540.02 / $968.75	Professional		$305.69	$540.02	$968.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,494.00 / $3,542.66 / $7,036.60	Facility		$1,494.00	$3,542.66	$7,036.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.90 / $1,184.13 / $2,368.10	Professional		$645.90	$1,184.13	$2,368.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,706.39 / $2,421.12 / $5,824.33	Facility		$1,706.39	$2,421.12	$5,824.33
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $56.18 / $56.18 / $56.18	Facility	AS	$56.18	$56.18	$56.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $690.69 / $1,358.92 / $2,736.75	Professional		$690.69	$1,358.92	$2,736.75
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,387.89 / $2,213.48 / $4,586.09	Facility		$1,387.89	$2,213.48	$4,586.09
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $683.85 / $1,275.85 / $2,329.63	Professional		$683.85	$1,275.85	$2,329.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $440.93 / $881.86 / $2,069.10	Facility		$440.93	$881.86	$2,069.10
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $151.53 / $151.53 / $151.53	Facility	AS	$151.53	$151.53	$151.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $694.22 / $1,296.53 / $2,643.33	Professional		$694.22	$1,296.53	$2,643.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,356.00 / $3,312.00 / $8,193.00	Facility		$1,356.00	$3,312.00	$8,193.00
United Facility/Professional Professional Modifier Low / Median / High Price $680.99 / $1,123.97 / $2,478.26	Professional		$680.99	$1,123.97	$2,478.26