Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.47 / $523.29 / $4,828.00	Facility		$333.47	$523.29	$4,828.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.75 / $513.66 / $835.23	Professional		$323.75	$513.66	$835.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,413.85 / $4,065.55 / $8,304.51	Facility		$1,413.85	$4,065.55	$8,304.51
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 $537.45 / $855.42 / $1,593.65	Professional		$537.45	$855.42	$1,593.65
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $795.09 / $1,269.90 / $2,232.94	Professional	50	$795.09	$1,269.90	$2,232.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,209.71 / $1,716.40 / $4,129.04	Facility		$1,209.71	$1,716.40	$4,129.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $605.95 / $1,071.73 / $2,028.62	Professional		$605.95	$1,071.73	$2,028.62
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $983.91 / $1,569.20 / $3,251.21	Facility		$983.91	$1,569.20	$3,251.21
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $606.45 / $1,025.78 / $1,906.74	Professional		$606.45	$1,025.78	$1,906.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $335.58 / $630.63 / $1,468.13	Facility		$335.58	$630.63	$1,468.13
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $4,208.85 / $4,208.85 / $4,208.85	Facility	50	$4,208.85	$4,208.85	$4,208.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $482.88 / $883.50 / $2,331.44	Professional		$482.88	$883.50	$2,331.44
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $2,353.05 / $2,353.05 / $2,353.05	Professional	50	$2,353.05	$2,353.05	$2,353.05
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 $486.14 / $813.75 / $1,762.51	Professional		$486.14	$813.75	$1,762.51