Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $4,365.16 / $8,511.38	Facility		$645.65	$4,365.16	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $724.44 / $1,348.96	Professional		$562.34	$724.44	$1,348.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $288.40 / $1,778.28 / $4,897.79	Professional	50	$288.40	$1,778.28	$4,897.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $8,912.51 / $17,378.01	Facility		$3,981.07	$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 $1,148.15 / $1,698.24 / $2,884.03	Professional		$1,148.15	$1,698.24	$2,884.03
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,621.81 / $2,511.89 / $4,168.69	Professional	50	$1,621.81	$2,511.89	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,019.95 / $7,244.36	Facility		$2,137.96	$3,019.95	$7,244.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,398.83 / $3,630.78	Professional		$1,412.54	$2,398.83	$3,630.78
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,884.03 / $5,754.40	Facility		$2,344.23	$2,884.03	$5,754.40
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,089.30 / $3,311.31	Professional		$1,380.38	$2,089.30	$3,311.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,380.38 / $7,762.47	Facility		$812.83	$1,380.38	$7,762.47
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,949.84 / $3,388.44 / $7,413.10	Facility	50	$1,949.84	$3,388.44	$7,413.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,819.70 / $5,011.87	Professional		$1,023.29	$1,819.70	$5,011.87
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional	50	$1,995.26	$1,995.26	$1,995.26
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 $891.25 / $1,584.89 / $2,754.23	Professional		$891.25	$1,584.89	$2,754.23