Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $660.69 / $660.69	Facility		$457.09	$660.69	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $630.96 / $1,071.52	Professional		$436.52	$630.96	$1,071.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $5,495.41 / $10,715.19	Facility		$2,511.89	$5,495.41	$10,715.19
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $5,495.41 / $9,772.37 / $25,118.86	Facility	50	$5,495.41	$9,772.37	$25,118.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,122.02 / $1,949.84	Professional		$724.44	$1,122.02	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,290.87 / $5,495.41	Facility		$1,621.81	$2,290.87	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,513.56 / $2,570.40	Professional		$891.25	$1,513.56	$2,570.40
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,187.76 / $4,265.80	Facility		$1,778.28	$2,187.76	$4,265.80
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,445.44 / $2,454.71	Professional		$891.25	$1,445.44	$2,454.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $891.25 / $1,819.70	Facility		$549.54	$891.25	$1,819.70
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Facility	50	$6,309.57	$6,309.57	$6,309.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,122.02 / $3,311.31	Professional		$602.56	$1,122.02	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,248.07 / $8,912.51	Facility		$2,884.03	$5,248.07	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $912.01 / $1,862.09	Professional		$562.34	$912.01	$1,862.09