Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.22 / $483.48 / $4,793.00	Facility		$191.22	$483.48	$4,793.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.22 / $480.67 / $816.19	Professional		$191.22	$480.67	$816.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,509.28 / $4,245.75 / $8,253.91	Facility		$2,509.28	$4,245.75	$8,253.91
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $4,402.57 / $6,679.66 / $11,712.19	Facility	50	$4,402.57	$6,679.66	$11,712.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.86 / $783.63 / $1,614.69	Professional		$364.86	$783.63	$1,614.69
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $533.66 / $1,102.79 / $2,422.04	Professional	50	$533.66	$1,102.79	$2,422.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,197.92 / $1,699.68 / $4,088.81	Facility		$1,197.92	$1,699.68	$4,088.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.37 / $846.59 / $2,012.79	Professional		$412.37	$846.59	$2,012.79
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $943.73 / $1,553.92 / $3,219.54	Facility		$943.73	$1,553.92	$3,219.54
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $416.13 / $792.39 / $1,743.85	Professional		$416.13	$792.39	$1,743.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $279.82 / $675.19 / $4,974.00	Facility		$279.82	$675.19	$4,974.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $608.02 / $1,088.56 / $2,152.77	Professional		$608.02	$1,088.56	$2,152.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,735.00 / $4,974.00 / $8,812.00	Facility		$2,735.00	$4,974.00	$8,812.00
United Facility/Professional Professional Modifier Low / Median / High Price $556.48 / $961.19 / $1,969.80	Professional		$556.48	$961.19	$1,969.80