Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.14 / $364.20 / $2,525.00	Facility		$194.14	$364.20	$2,525.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.17 / $298.66 / $581.29	Professional		$174.17	$298.66	$581.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $852.49 / $3,744.92 / $8,304.51	Facility		$852.49	$3,744.92	$8,304.51
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 $318.30 / $581.02 / $1,074.82	Professional		$318.30	$581.02	$1,074.82
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $463.10 / $826.59 / $1,490.10	Professional	50	$463.10	$826.59	$1,490.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $779.26 / $1,192.05 / $2,867.63	Facility		$779.26	$1,192.05	$2,867.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.75 / $717.14 / $1,339.07	Professional		$359.75	$717.14	$1,339.07
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $661.87 / $1,089.82 / $2,257.98	Facility		$661.87	$1,089.82	$2,257.98
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $351.96 / $638.50 / $1,258.97	Professional		$351.96	$638.50	$1,258.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $214.20 / $407.17 / $1,370.00	Facility		$214.20	$407.17	$1,370.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $345.84 / $597.36 / $1,363.60	Professional		$345.84	$597.36	$1,363.60
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 $345.84 / $564.88 / $1,210.56	Professional		$345.84	$564.88	$1,210.56