Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $2,818.38 / $7,079.46	Facility		$181.97	$2,818.38	$7,079.46
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $977.24 / $3,890.45 / $6,918.31	Facility	50	$977.24	$3,890.45	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $323.59 / $870.96	Professional		$181.97	$323.59	$870.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $194.98 / $1,258.93 / $3,981.07	Professional	50	$194.98	$1,258.93	$3,981.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $5,128.61 / $12,589.25	Facility		$1,348.96	$5,128.61	$12,589.25
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,019.95 / $11,481.54 / $22,387.21	Facility	50	$3,019.95	$11,481.54	$22,387.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $537.03 / $1,000.00	Professional		$302.00	$537.03	$1,000.00
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $457.09 / $794.33 / $1,380.38	Professional	50	$457.09	$794.33	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,096.48 / $2,630.27	Facility		$758.58	$1,096.48	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $724.44 / $1,258.93	Professional		$389.05	$724.44	$1,258.93
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,047.13 / $2,089.30	Facility		$851.14	$1,047.13	$2,089.30
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $660.69 / $1,174.90	Professional		$380.19	$660.69	$1,174.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $537.03 / $6,760.83	Facility		$269.15	$537.03	$6,760.83
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $323.59 / $3,090.30 / $5,754.40	Facility	50	$323.59	$3,090.30	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $707.95 / $1,584.89	Professional		$436.52	$707.95	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,248.07 / $8,912.51	Facility		$2,884.03	$5,248.07	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $602.56 / $1,000.00	Professional		$288.40	$602.56	$1,000.00