Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $5,248.07 / $8,511.38	Facility		$426.58	$5,248.07	$8,511.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Facility	50	$6,456.54	$6,456.54	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $512.86 / $1,445.44	Professional		$398.11	$512.86	$1,445.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $8,912.51 / $17,378.01	Facility		$2,951.21	$8,912.51	$17,378.01
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $9,120.11 / $16,218.10 / $40,738.03	Facility	50	$9,120.11	$16,218.10	$40,738.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,174.90 / $1,995.26	Professional		$776.25	$1,174.90	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $4,897.79	Facility		$1,445.44	$2,041.74	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,621.81 / $2,398.83	Professional		$933.25	$1,621.81	$2,398.83
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,949.84 / $3,890.45	Facility		$1,584.89	$1,949.84	$3,890.45
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,412.54 / $2,238.72	Professional		$933.25	$1,412.54	$2,238.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,348.96 / $7,762.47	Facility		$549.54	$1,348.96	$7,762.47
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,995.26 / $1,995.26 / $7,762.47	Facility	50	$1,995.26	$1,995.26	$7,762.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,288.25 / $3,388.44	Professional		$630.96	$1,288.25	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,248.07 / $10,000.00	Facility		$2,884.03	$5,248.07	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,047.13 / $1,905.46	Professional		$575.44	$1,047.13	$1,905.46