Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.62 / $550.13 / $6,781.00	Facility		$529.62	$550.13	$6,781.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.62 / $588.92 / $898.51	Professional		$529.62	$588.92	$898.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $755.43 / $1,629.21 / $3,529.62	Facility		$755.43	$1,629.21	$3,529.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $777.42 / $1,087.97 / $1,799.54	Professional		$777.42	$1,087.97	$1,799.54
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,154.51 / $1,575.59 / $2,569.98	Professional	50	$1,154.51	$1,575.59	$2,569.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,279.58 / $1,815.54 / $4,367.53	Facility		$1,279.58	$1,815.54	$4,367.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $856.96 / $1,397.90 / $2,239.33	Professional		$856.96	$1,397.90	$2,239.33
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,040.74 / $1,659.84 / $3,439.00	Facility		$1,040.74	$1,659.84	$3,439.00
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $828.64 / $1,206.47 / $2,053.59	Professional		$828.64	$1,206.47	$2,053.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $587.41 / $921.93 / $1,518.48	Facility		$587.41	$921.93	$1,518.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $581.58 / $988.91 / $3,041.73	Professional		$581.58	$988.91	$3,041.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $2,872.00 / $4,241.00	Facility		$1,755.00	$2,872.00	$4,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $572.53 / $924.85 / $1,981.79	Professional		$572.53	$924.85	$1,981.79