Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,247.05 / $1,247.05 / $7,618.00	Facility		$1,247.05	$1,247.05	$7,618.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $935.29 / $935.29 / $935.29	Facility	54	$935.29	$935.29	$935.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,083.03 / $1,268.85 / $2,272.41	Professional		$1,083.03	$1,268.85	$2,272.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,642.04 / $6,932.26 / $14,449.17	Facility		$2,642.04	$6,932.26	$14,449.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,842.37 / $2,499.42 / $4,107.02	Professional		$1,842.37	$2,499.42	$4,107.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,905.16 / $4,122.00 / $9,916.02	Facility		$2,905.16	$4,122.00	$9,916.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,977.05 / $3,244.88 / $5,115.08	Professional		$1,977.05	$3,244.88	$5,115.08
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,362.90 / $3,768.49 / $7,807.89	Facility		$2,362.90	$3,768.49	$7,807.89
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,710.72 / $2,755.81 / $4,690.83	Professional		$1,710.72	$2,755.81	$4,690.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,285.68 / $2,276.87 / $9,793.00	Facility		$1,285.68	$2,276.87	$9,793.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,304.13 / $2,226.39 / $4,760.66	Professional		$1,304.13	$2,226.39	$4,760.66
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 $1,374.00 / $2,293.00 / $4,523.66	Professional		$1,374.00	$2,293.00	$4,523.66