Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $541.45 / $615.29 / $6,781.00	Facility		$541.45	$615.29	$6,781.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,292.03 / $5,843.32 / $8,959.50	Facility	50	$5,292.03	$5,843.32	$8,959.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.10 / $612.16 / $943.91	Professional		$505.10	$612.16	$943.91
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $252.52 / $785.09 / $2,140.01	Professional	50	$252.52	$785.09	$2,140.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,328.96 / $3,717.82 / $7,165.62	Facility		$2,328.96	$3,717.82	$7,165.62
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $4,158.22 / $6,308.93 / $11,062.16	Facility	50	$4,158.22	$6,308.93	$11,062.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $879.42 / $1,305.63 / $2,127.89	Professional		$879.42	$1,305.63	$2,127.89
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,319.13 / $1,878.89 / $3,024.63	Professional	50	$1,319.13	$1,878.89	$3,024.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,564.08 / $2,218.07 / $5,335.86	Facility		$1,564.08	$2,218.07	$5,335.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.63 / $1,745.89 / $2,808.02	Professional		$1,047.63	$1,745.89	$2,808.02
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,271.49 / $2,027.84 / $4,201.46	Facility		$1,271.49	$2,027.84	$4,201.46
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,037.26 / $1,557.00 / $2,504.21	Professional		$1,037.26	$1,557.00	$2,504.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $605.84 / $974.62 / $2,296.00	Facility		$605.84	$974.62	$2,296.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $871.58 / $3,663.15 / $6,559.29	Facility	50	$871.58	$3,663.15	$6,559.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $723.34 / $1,217.08 / $4,128.96	Professional		$723.34	$1,217.08	$4,128.96
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 $671.06 / $1,051.09 / $2,297.31	Professional		$671.06	$1,051.09	$2,297.31