Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.79 / $274.14 / $2,525.00	Facility		$164.79	$274.14	$2,525.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $690.48 / $690.48 / $690.48	Facility	50	$690.48	$690.48	$690.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.79 / $274.14 / $465.23	Professional		$164.79	$274.14	$465.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $652.14 / $1,586.00 / $2,406.83	Professional	50	$652.14	$1,586.00	$2,406.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,196.41 / $3,460.23 / $6,031.72	Facility		$2,196.41	$3,460.23	$6,031.72
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,870.11 / $5,871.81 / $10,295.70	Facility	50	$3,870.11	$5,871.81	$10,295.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.24 / $533.80 / $906.66	Professional		$291.24	$533.80	$906.66
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $436.86 / $774.99 / $1,321.11	Professional	50	$436.86	$774.99	$1,321.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $639.28 / $906.58 / $2,180.89	Facility		$639.28	$906.58	$2,180.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.14 / $663.26 / $1,130.08	Professional		$377.14	$663.26	$1,130.08
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $519.69 / $828.83 / $1,717.24	Facility		$519.69	$828.83	$1,717.24
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $335.38 / $568.17 / $1,056.15	Professional		$335.38	$568.17	$1,056.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $262.95 / $452.41 / $3,500.00	Facility		$262.95	$452.41	$3,500.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $833.00 / $833.00 / $833.00	Facility	50	$833.00	$833.00	$833.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $359.37 / $705.24 / $3,338.00	Professional		$359.37	$705.24	$3,338.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,296.00 / $3,500.00 / $6,361.00	Facility		$2,296.00	$3,500.00	$6,361.00
United Facility/Professional Professional Modifier Low / Median / High Price $333.39 / $664.79 / $1,097.71	Professional		$333.39	$664.79	$1,097.71