Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.37 / $470.69 / $6,575.00	Facility		$249.37	$470.69	$6,575.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,889.82 / $6,889.82 / $6,889.82	Facility	50	$6,889.82	$6,889.82	$6,889.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.13 / $355.76 / $645.77	Professional		$241.13	$355.76	$645.77
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $131.00 / $1,232.86 / $1,849.31	Professional	50	$131.00	$1,232.86	$1,849.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,142.63 / $10,766.58 / $24,323.22	Facility		$1,142.63	$10,766.58	$24,323.22
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $15,606.43 / $23,678.36 / $41,517.91	Facility	50	$15,606.43	$23,678.36	$41,517.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $438.97 / $824.99 / $1,494.07	Professional		$438.97	$824.99	$1,494.07
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $658.46 / $1,213.98 / $2,241.11	Professional	50	$658.46	$1,213.98	$2,241.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,087.35 / $1,542.02 / $3,709.53	Facility		$1,087.35	$1,542.02	$3,709.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $570.33 / $1,009.91 / $1,855.97	Professional		$570.33	$1,009.91	$1,855.97
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $883.95 / $1,409.77 / $2,920.89	Facility		$883.95	$1,409.77	$2,920.89
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $502.70 / $912.29 / $1,617.01	Professional		$502.70	$912.29	$1,617.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $368.96 / $679.98 / $4,746.00	Facility		$368.96	$679.98	$4,746.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $0.73 / $2,575.50 / $7,329.96	Facility	50	$0.73	$2,575.50	$7,329.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $408.63 / $1,169.91 / $4,389.00	Professional		$408.63	$1,169.91	$4,389.00
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 $424.39 / $1,231.81 / $1,777.80	Professional		$424.39	$1,231.81	$1,777.80