Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $5,370.32 / $7,943.28	Facility		$602.56	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $794.33 / $3,162.28	Professional		$537.03	$794.33	$3,162.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,786.30 / $13,182.57	Facility		$2,691.53	$4,786.30	$13,182.57
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $4,570.88 / $8,317.64 / $20,892.96	Facility	50	$4,570.88	$8,317.64	$20,892.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,445.44 / $2,238.72	Professional		$977.24	$1,445.44	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,238.72 / $5,248.07	Facility		$1,584.89	$2,238.72	$5,248.07
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility	22	$1,230.27	$1,230.27	$1,230.27
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $102.33 / $102.33 / $102.33	Facility	AS	$102.33	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,819.70 / $2,691.53	Professional		$1,071.52	$1,819.70	$2,691.53
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,137.96 / $4,168.69	Facility		$1,698.24	$2,137.96	$4,168.69
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $2,398.83	Professional		$1,148.15	$1,513.56	$2,398.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,380.38 / $6,456.54	Facility		$660.69	$1,380.38	$6,456.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,348.96 / $3,981.07	Professional		$630.96	$1,348.96	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,786.30 / $8,912.51	Facility		$2,398.83	$4,786.30	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,071.52 / $2,137.96	Professional		$602.56	$1,071.52	$2,137.96