Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.66 / $278.23 / $2,525.00	Facility		$163.66	$278.23	$2,525.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $982.40 / $982.40 / $982.40	Facility	50	$982.40	$982.40	$982.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.16 / $172.97 / $1,971.20	Professional		$137.16	$172.97	$1,971.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $188.40 / $943.50 / $1,054.50	Professional	50	$188.40	$943.50	$1,054.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,335.57 / $2,842.01 / $6,031.72	Facility		$1,335.57	$2,842.01	$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 $266.58 / $412.88 / $579.63	Professional		$266.58	$412.88	$579.63
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $387.11 / $597.48 / $837.60	Professional	50	$387.11	$597.48	$837.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $381.55 / $541.08 / $1,301.64	Facility		$381.55	$541.08	$1,301.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.99 / $521.66 / $743.71	Professional		$309.99	$521.66	$743.71
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $310.17 / $494.68 / $1,024.91	Facility		$310.17	$494.68	$1,024.91
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $272.92 / $467.04 / $618.92	Professional		$272.92	$467.04	$618.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $213.96 / $317.25 / $4,746.00	Facility		$213.96	$317.25	$4,746.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,760.19 / $2,575.50 / $3,904.50	Facility	50	$1,760.19	$2,575.50	$3,904.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $207.57 / $405.81 / $872.63	Professional		$207.57	$405.81	$872.63
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 $207.57 / $407.57 / $629.64	Professional		$207.57	$407.57	$629.64