Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.66 / $835.61 / $4,828.00	Facility		$691.66	$835.61	$4,828.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.46 / $771.68 / $1,359.81	Professional		$577.46	$771.68	$1,359.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,807.97 / $4,753.54 / $9,166.61	Facility		$2,807.97	$4,753.54	$9,166.61
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 $1,080.83 / $1,560.33 / $2,658.01	Professional		$1,080.83	$1,560.33	$2,658.01
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,580.85 / $2,260.01 / $3,732.45	Professional	50	$1,580.85	$2,260.01	$3,732.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,938.73 / $2,750.78 / $6,617.38	Facility		$1,938.73	$2,750.78	$6,617.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,157.58 / $1,950.15 / $3,301.02	Professional		$1,157.58	$1,950.15	$3,301.02
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,576.86 / $2,514.88 / $5,210.54	Facility		$1,576.86	$2,514.88	$5,210.54
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,127.07 / $1,782.58 / $3,094.06	Professional		$1,127.07	$1,782.58	$3,094.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $682.23 / $1,223.20 / $2,735.00	Facility		$682.23	$1,223.20	$2,735.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $837.00 / $1,463.44 / $5,606.00	Professional		$837.00	$1,463.44	$5,606.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,289.00 / $8,193.00	Facility		$2,740.00	$4,289.00	$8,193.00
United Facility/Professional Professional Modifier Low / Median / High Price $837.00 / $1,426.55 / $2,892.73	Professional		$837.00	$1,426.55	$2,892.73