Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $481.75 / $636.15 / $4,828.00	Facility		$481.75	$636.15	$4,828.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.29 / $561.44 / $1,027.75	Professional		$440.29	$561.44	$1,027.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,072.67 / $4,065.55 / $8,639.27	Facility		$2,072.67	$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 $757.64 / $1,133.22 / $2,006.64	Professional		$757.64	$1,133.22	$2,006.64
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,130.36 / $1,654.02 / $2,766.20	Professional	50	$1,130.36	$1,654.02	$2,766.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,476.57 / $2,095.04 / $5,039.89	Facility		$1,476.57	$2,095.04	$5,039.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $808.20 / $1,456.14 / $2,504.84	Professional		$808.20	$1,456.14	$2,504.84
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,200.96 / $1,915.37 / $3,968.43	Facility		$1,200.96	$1,915.37	$3,968.43
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $810.61 / $1,356.41 / $2,354.35	Professional		$810.61	$1,356.41	$2,354.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $572.74 / $889.56 / $1,784.76	Facility		$572.74	$889.56	$1,784.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $635.67 / $1,080.68 / $2,365.73	Professional		$635.67	$1,080.68	$2,365.73
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 $654.63 / $1,026.48 / $2,172.19	Professional		$654.63	$1,026.48	$2,172.19