Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.69 / $317.81 / $2,525.00	Facility		$183.69	$317.81	$2,525.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $975.04 / $3,919.50 / $6,561.00	Facility	50	$975.04	$3,919.50	$6,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.69 / $317.81 / $622.71	Professional		$183.69	$317.81	$622.71
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $193.26 / $1,355.91 / $3,942.40	Professional	50	$193.26	$1,355.91	$3,942.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $904.43 / $5,064.68 / $11,441.84	Facility		$904.43	$5,064.68	$11,441.84
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $6,276.44 / $11,103.29 / $19,530.37	Facility	50	$6,276.44	$11,103.29	$19,530.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.81 / $594.00 / $1,043.72	Professional		$323.81	$594.00	$1,043.72
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $485.72 / $877.85 / $1,520.81	Professional	50	$485.72	$877.85	$1,520.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.98 / $1,045.13 / $2,514.19	Facility		$736.98	$1,045.13	$2,514.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.10 / $735.20 / $1,261.75	Professional		$402.10	$735.20	$1,261.75
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $599.11 / $955.50 / $1,979.69	Facility		$599.11	$955.50	$1,979.69
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $371.75 / $634.38 / $1,179.21	Professional		$371.75	$634.38	$1,179.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $305.81 / $537.10 / $4,746.00	Facility		$305.81	$537.10	$4,746.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $350.32 / $3,099.00 / $5,817.90	Facility	50	$350.32	$3,099.00	$5,817.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $483.65 / $791.42 / $1,591.23	Professional		$483.65	$791.42	$1,591.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,735.00 / $4,974.00 / $8,812.00	Facility		$2,735.00	$4,974.00	$8,812.00
United Facility/Professional Professional Modifier Low / Median / High Price $407.34 / $780.98 / $1,194.94	Professional		$407.34	$780.98	$1,194.94