Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,121.26 / $1,121.26 / $6,698.00	Facility		$1,121.26	$1,121.26	$6,698.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $817.67 / $1,121.26 / $1,818.15	Professional		$817.67	$1,121.26	$1,818.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,241.33 / $1,241.33 / $6,841.86	Professional	50	$1,241.33	$1,241.33	$6,841.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,022.76 / $7,327.81 / $14,294.22	Facility		$4,022.76	$7,327.81	$14,294.22
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $8,816.17 / $13,376.05 / $23,453.73	Facility	50	$8,816.17	$13,376.05	$23,453.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,604.78 / $2,194.39 / $3,629.57	Professional		$1,604.78	$2,194.39	$3,629.57
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $2,315.63 / $3,246.87 / $5,281.02	Professional	50	$2,315.63	$3,246.87	$5,281.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,590.31 / $3,675.28 / $8,841.37	Facility		$2,590.31	$3,675.28	$8,841.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.36 / $2,851.47 / $4,494.93	Professional		$1,737.36	$2,851.47	$4,494.93
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,106.82 / $3,360.08 / $6,961.71	Facility		$2,106.82	$3,360.08	$6,961.71
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,503.32 / $2,421.69 / $4,122.12	Professional		$1,503.32	$2,421.69	$4,122.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,100.59 / $1,893.17 / $6,927.00	Facility		$1,100.59	$1,893.17	$6,927.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,026.61 / $1,773.25 / $3,990.82	Professional		$1,026.61	$1,773.25	$3,990.82
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $3,204.02 / $3,204.02 / $3,204.02	Professional	50	$3,204.02	$3,204.02	$3,204.02
United Facility/Professional Facility Modifier Low / Median / High Price $3,991.00 / $9,404.00 / $12,475.70	Facility		$3,991.00	$9,404.00	$12,475.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,056.10 / $1,697.93 / $3,671.24	Professional		$1,056.10	$1,697.93	$3,671.24