Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.99 / $419.94 / $3,638.00	Facility		$257.99	$419.94	$3,638.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.03 / $383.24 / $672.92	Professional		$238.03	$383.24	$672.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $481.69 / $4,575.71 / $10,098.06	Facility		$481.69	$4,575.71	$10,098.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.92 / $863.34 / $1,455.82	Professional		$467.92	$863.34	$1,455.82
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $701.88 / $1,230.83 / $2,118.23	Professional	50	$701.88	$1,230.83	$2,118.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,041.04 / $1,476.32 / $3,551.49	Facility		$1,041.04	$1,476.32	$3,551.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $609.53 / $1,089.50 / $1,772.82	Professional		$609.53	$1,089.50	$1,772.82
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $846.29 / $1,349.71 / $2,796.45	Facility		$846.29	$1,349.71	$2,796.45
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $553.63 / $886.87 / $1,640.34	Professional		$553.63	$886.87	$1,640.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $333.70 / $576.22 / $3,500.00	Facility		$333.70	$576.22	$3,500.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $541.16 / $1,119.14 / $2,240.98	Professional		$541.16	$1,119.14	$2,240.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,296.00 / $3,500.00 / $6,361.00	Facility		$2,296.00	$3,500.00	$6,361.00
United Facility/Professional Professional Modifier Low / Median / High Price $541.16 / $1,057.72 / $1,623.84	Professional		$541.16	$1,057.72	$1,623.84