Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $639.03 / $639.03 / $3,638.00	Facility		$639.03	$639.03	$3,638.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $528.94 / $639.03 / $1,047.16	Professional		$528.94	$639.03	$1,047.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,578.23 / $4,560.58 / $9,155.90	Facility		$2,578.23	$4,560.58	$9,155.90
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 $942.47 / $1,298.67 / $2,099.85	Professional		$942.47	$1,298.67	$2,099.85
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,358.76 / $1,904.31 / $3,058.44	Professional	50	$1,358.76	$1,904.31	$3,058.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,490.88 / $2,115.34 / $5,088.75	Facility		$1,490.88	$2,115.34	$5,088.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,014.27 / $1,664.69 / $2,624.14	Professional		$1,014.27	$1,664.69	$2,624.14
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,212.59 / $1,933.93 / $4,006.89	Facility		$1,212.59	$1,933.93	$4,006.89
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $877.64 / $1,413.79 / $2,406.48	Professional		$877.64	$1,413.79	$2,406.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $671.36 / $1,112.40 / $5,625.11	Facility		$671.36	$1,112.40	$5,625.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $642.00 / $1,120.73 / $2,435.03	Professional		$642.00	$1,120.73	$2,435.03
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 $623.77 / $1,079.19 / $2,248.58	Professional		$623.77	$1,079.19	$2,248.58