Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.20 / $266.77 / $2,384.00	Facility		$172.20	$266.77	$2,384.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,788.00 / $1,788.00 / $1,788.00	Facility	50	$1,788.00	$1,788.00	$1,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.20 / $266.77 / $368.20	Professional		$172.20	$266.77	$368.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $501.02 / $583.48 / $1,890.48	Professional	50	$501.02	$583.48	$1,890.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,196.41 / $3,621.05 / $6,031.72	Facility		$2,196.41	$3,621.05	$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 $303.31 / $534.05 / $883.34	Professional		$303.31	$534.05	$883.34
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $454.71 / $776.34 / $1,285.26	Professional	50	$454.71	$776.34	$1,285.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $619.91 / $879.10 / $2,114.80	Facility		$619.91	$879.10	$2,114.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.49 / $690.28 / $1,107.83	Professional		$378.49	$690.28	$1,107.83
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $503.94 / $803.71 / $1,665.20	Facility		$503.94	$803.71	$1,665.20
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $349.93 / $560.55 / $1,025.04	Professional		$349.93	$560.55	$1,025.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $266.77 / $453.12 / $3,307.00	Facility		$266.77	$453.12	$3,307.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $4,971.60 / $4,971.60 / $4,971.60	Facility	50	$4,971.60	$4,971.60	$4,971.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $358.41 / $694.20 / $2,164.00	Professional		$358.41	$694.20	$2,164.00
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 $333.36 / $598.82 / $1,050.26	Professional		$333.36	$598.82	$1,050.26