Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $534.60 / $700.92 / $6,575.00	Facility		$534.60	$700.92	$6,575.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $507.82 / $700.27 / $1,135.74	Professional		$507.82	$700.27	$1,135.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,225.90 / $4,340.27 / $8,639.27	Facility		$2,225.90	$4,340.27	$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 $842.13 / $1,263.19 / $2,219.58	Professional		$842.13	$1,263.19	$2,219.58
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,256.43 / $1,840.25 / $3,060.11	Professional	50	$1,256.43	$1,840.25	$3,060.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,628.10 / $2,310.04 / $5,557.11	Facility		$1,628.10	$2,310.04	$5,557.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $926.52 / $1,584.83 / $2,763.82	Professional		$926.52	$1,584.83	$2,763.82
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,324.21 / $2,111.92 / $4,375.68	Facility		$1,324.21	$2,111.92	$4,375.68
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $894.42 / $1,496.65 / $2,597.77	Professional		$894.42	$1,496.65	$2,597.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $571.40 / $994.24 / $2,735.00	Facility		$571.40	$994.24	$2,735.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,980.35 / $4,884.00 / $12,406.64	Facility	50	$2,980.35	$4,884.00	$12,406.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $706.08 / $1,221.81 / $3,757.36	Professional		$706.08	$1,221.81	$3,757.36
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $920.38 / $1,527.62 / $1,716.63	Professional	50	$920.38	$1,527.62	$1,716.63
United Facility/Professional Facility Modifier Low / Median / High Price $3,312.00 / $6,096.05 / $8,812.00	Facility		$3,312.00	$6,096.05	$8,812.00
United Facility/Professional Professional Modifier Low / Median / High Price $724.50 / $1,140.16 / $2,549.30	Professional		$724.50	$1,140.16	$2,549.30