Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.41 / $616.76 / $4,828.00	Facility		$500.41	$616.76	$4,828.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $472.70 / $616.76 / $1,003.95	Professional		$472.70	$616.76	$1,003.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,149.62 / $4,065.55 / $8,639.27	Facility		$2,149.62	$4,065.55	$8,639.27
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 $786.17 / $1,141.21 / $1,956.00	Professional		$786.17	$1,141.21	$1,956.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,431.11 / $2,030.54 / $4,884.74	Facility		$1,431.11	$2,030.54	$4,884.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.63 / $1,441.57 / $2,431.46	Professional		$839.63	$1,441.57	$2,431.46
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,163.99 / $1,856.40 / $3,846.25	Facility		$1,163.99	$1,856.40	$3,846.25
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $831.32 / $1,316.68 / $2,285.39	Professional		$831.32	$1,316.68	$2,285.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $546.71 / $898.48 / $1,730.37	Facility		$546.71	$898.48	$1,730.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $620.50 / $1,074.92 / $3,506.56	Professional		$620.50	$1,074.92	$3,506.56
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 $610.09 / $1,004.23 / $2,120.80	Professional		$610.09	$1,004.23	$2,120.80