Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.06 / $705.96 / $6,575.00	Facility		$484.06	$705.96	$6,575.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $452.26 / $650.62 / $1,136.26	Professional		$452.26	$650.62	$1,136.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,085.50 / $4,065.55 / $8,639.27	Facility		$2,085.50	$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 $772.39 / $1,199.85 / $2,166.79	Professional		$772.39	$1,199.85	$2,166.79
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,158.58 / $1,733.00 / $3,029.31	Professional	50	$1,158.58	$1,733.00	$3,029.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,631.47 / $2,314.82 / $5,568.60	Facility		$1,631.47	$2,314.82	$5,568.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $865.54 / $1,505.32 / $2,752.31	Professional		$865.54	$1,505.32	$2,752.31
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,326.95 / $2,116.30 / $4,384.72	Facility		$1,326.95	$2,116.30	$4,384.72
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $855.99 / $1,415.71 / $2,586.94	Professional		$855.99	$1,415.71	$2,586.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $550.29 / $897.16 / $1,980.62	Facility		$550.29	$897.16	$1,980.62
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $7,788.60 / $7,788.60 / $7,788.60	Facility	50	$7,788.60	$7,788.60	$7,788.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $692.33 / $1,205.99 / $4,165.00	Professional		$692.33	$1,205.99	$4,165.00
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $1,252.30 / $2,604.96 / $4,432.05	Professional	50	$1,252.30	$2,604.96	$4,432.05
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 $698.20 / $1,142.51 / $2,406.66	Professional		$698.20	$1,142.51	$2,406.66