Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $707.95 / $707.95	Facility		$478.63	$707.95	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $630.96 / $1,071.52	Professional		$426.58	$630.96	$1,071.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $5,495.41 / $10,715.19	Facility		$2,691.53	$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 $776.25 / $1,174.90 / $2,041.74	Professional		$776.25	$1,174.90	$2,041.74
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,148.15 / $1,778.28 / $2,884.03	Professional	50	$1,148.15	$1,778.28	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,454.71 / $5,754.40	Facility		$1,737.80	$2,454.71	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,584.89 / $2,754.23	Professional		$954.99	$1,584.89	$2,754.23
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,344.23 / $4,570.88	Facility		$1,862.09	$2,344.23	$4,570.88
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,513.56 / $2,570.40	Professional		$933.25	$1,513.56	$2,570.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $912.01 / $1,905.46	Facility		$549.54	$912.01	$1,905.46
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $7,762.47 / $7,762.47 / $7,762.47	Facility	50	$7,762.47	$7,762.47	$7,762.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,148.15 / $4,168.69	Professional		$630.96	$1,148.15	$4,168.69
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $1,258.93 / $1,258.93 / $2,630.27	Professional	50	$1,258.93	$1,258.93	$2,630.27
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 / $977.24 / $1,949.84	Professional		$562.34	$977.24	$1,949.84