Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.79 / $806.87 / $6,575.00	Facility		$573.79	$806.87	$6,575.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $518.47 / $777.31 / $1,297.69	Professional		$518.47	$777.31	$1,297.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,203.64 / $3,744.92 / $8,304.51	Facility		$1,203.64	$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 $904.68 / $1,402.70 / $2,529.91	Professional		$904.68	$1,402.70	$2,529.91
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,353.95 / $2,020.58 / $3,468.09	Professional	50	$1,353.95	$2,020.58	$3,468.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,870.55 / $2,654.03 / $6,384.64	Facility		$1,870.55	$2,654.03	$6,384.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,024.73 / $1,728.80 / $3,160.91	Professional		$1,024.73	$1,728.80	$3,160.91
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,521.40 / $2,426.42 / $5,027.28	Facility		$1,521.40	$2,426.42	$5,027.28
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,022.92 / $1,681.95 / $2,971.00	Professional		$1,022.92	$1,681.95	$2,971.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $580.41 / $1,040.99 / $2,735.00	Facility		$580.41	$1,040.99	$2,735.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $803.12 / $1,387.21 / $4,805.00	Professional		$803.12	$1,387.21	$4,805.00
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 $803.12 / $1,296.85 / $2,750.46	Professional		$803.12	$1,296.85	$2,750.46