Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.96 / $631.66 / $2,525.00	Facility		$489.96	$631.66	$2,525.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.29 / $631.04 / $1,022.37	Professional		$463.29	$631.04	$1,022.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,109.55 / $4,065.55 / $8,639.27	Facility		$2,109.55	$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 $769.95 / $1,142.15 / $1,992.26	Professional		$769.95	$1,142.15	$1,992.26
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,145.09 / $1,662.38 / $2,761.95	Professional	50	$1,145.09	$1,662.38	$2,761.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,464.78 / $2,078.32 / $4,999.67	Facility		$1,464.78	$2,078.32	$4,999.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $858.73 / $1,455.44 / $2,482.85	Professional		$858.73	$1,455.44	$2,482.85
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,191.38 / $1,900.08 / $3,936.75	Facility		$1,191.38	$1,900.08	$3,936.75
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $812.76 / $1,344.73 / $2,334.07	Professional		$812.76	$1,344.73	$2,334.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $556.36 / $882.55 / $1,772.19	Facility		$556.36	$882.55	$1,772.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $624.80 / $1,067.31 / $2,352.92	Professional		$624.80	$1,067.31	$2,352.92
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 $652.25 / $1,020.95 / $2,164.27	Professional		$652.25	$1,020.95	$2,164.27