Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $616.60 / $616.60	Facility		$537.03	$616.60	$616.60
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Facility	50	$5,888.44	$5,888.44	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $602.56 / $1,380.38	Professional		$467.74	$602.56	$1,380.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $691.83 / $1,202.26 / $4,786.30	Professional	50	$691.83	$1,202.26	$4,786.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,365.16 / $12,022.64	Facility		$2,454.71	$4,365.16	$12,022.64
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $4,265.80 / $7,762.47 / $19,498.45	Facility	50	$4,265.80	$7,762.47	$19,498.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,288.25 / $2,137.96	Professional		$891.25	$1,288.25	$2,137.96
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,288.25 / $1,905.46 / $3,019.95	Professional	50	$1,288.25	$1,905.46	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,344.23 / $5,623.41	Facility		$1,659.59	$2,344.23	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $2,818.38	Professional		$1,096.48	$1,862.09	$2,818.38
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,238.72 / $4,365.16	Facility		$1,819.70	$2,238.72	$4,365.16
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,584.89 / $2,511.89	Professional		$1,071.52	$1,584.89	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $977.24 / $3,311.31	Facility		$602.56	$977.24	$3,311.31
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $870.96 / $3,630.78 / $6,606.93	Facility	50	$870.96	$3,630.78	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,148.15 / $4,168.69	Professional		$676.08	$1,148.15	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,548.13 / $6,760.83	Facility		$1,584.89	$3,548.13	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,047.13 / $2,089.30	Professional		$676.08	$1,047.13	$2,089.30