Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.66 / $474.59 / $2,525.00	Facility		$415.66	$474.59	$2,525.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.59 / $465.24 / $772.29	Professional		$378.59	$465.24	$772.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,790.55 / $4,065.55 / $8,433.35	Facility		$1,790.55	$4,065.55	$8,433.35
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $5,328.39 / $8,084.34 / $14,175.17	Facility	50	$5,328.39	$8,084.34	$14,175.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $627.50 / $908.50 / $1,547.42	Professional		$627.50	$908.50	$1,547.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,104.48 / $1,567.10 / $3,769.87	Facility		$1,104.48	$1,567.10	$3,769.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $695.76 / $1,138.86 / $1,918.99	Professional		$695.76	$1,138.86	$1,918.99
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $898.33 / $1,432.70 / $2,968.40	Facility		$898.33	$1,432.70	$2,968.40
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $651.92 / $1,039.01 / $1,762.05	Professional		$651.92	$1,039.01	$1,762.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $446.87 / $735.10 / $2,735.00	Facility		$446.87	$735.10	$2,735.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $478.50 / $839.19 / $2,918.16	Professional		$478.50	$839.19	$2,918.16
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 $475.95 / $770.94 / $1,749.70	Professional		$475.95	$770.94	$1,749.70