Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.09 / $685.09 / $6,575.00	Facility		$685.09	$685.09	$6,575.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $685.09 / $764.60 / $1,378.57	Professional		$685.09	$764.60	$1,378.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,512.40 / $6,191.58 / $13,740.33	Facility		$1,512.40	$6,191.58	$13,740.33
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $8,816.17 / $13,376.05 / $23,453.73	Facility	50	$8,816.17	$13,376.05	$23,453.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,080.32 / $1,441.09 / $2,334.98	Professional		$1,080.32	$1,441.09	$2,334.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,596.11 / $2,264.65 / $5,447.92	Facility		$1,596.11	$2,264.65	$5,447.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,086.92 / $1,783.93 / $2,812.11	Professional		$1,086.92	$1,783.93	$2,812.11
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,298.19 / $2,070.42 / $4,289.70	Facility		$1,298.19	$2,070.42	$4,289.70
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $940.50 / $1,515.06 / $2,578.87	Professional		$940.50	$1,515.06	$2,578.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $703.34 / $1,192.56 / $6,927.00	Facility		$703.34	$1,192.56	$6,927.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $689.00 / $1,203.30 / $2,608.78	Professional		$689.00	$1,203.30	$2,608.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,293.00 / $6,652.00 / $9,810.00	Facility		$3,293.00	$6,652.00	$9,810.00
United Facility/Professional Professional Modifier Low / Median / High Price $715.47 / $1,194.31 / $2,407.98	Professional		$715.47	$1,194.31	$2,407.98