Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.70 / $2,212.00 / $4,828.00	Facility		$271.70	$2,212.00	$4,828.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $576.50 / $3,191.06 / $16,375.65	Facility	50	$576.50	$3,191.06	$16,375.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.74 / $320.54 / $4,693.47	Professional		$270.74	$320.54	$4,693.47
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $217.17 / $1,972.50 / $2,235.60	Professional	50	$217.17	$1,972.50	$2,235.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,246.95 / $10,766.58 / $24,323.22	Facility		$1,246.95	$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 $441.35 / $686.98 / $964.42	Professional		$441.35	$686.98	$964.42
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $641.27 / $995.84 / $1,393.65	Professional	50	$641.27	$995.84	$1,393.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $631.70 / $895.83 / $2,155.03	Facility		$631.70	$895.83	$2,155.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $511.21 / $863.69 / $1,226.46	Professional		$511.21	$863.69	$1,226.46
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $513.53 / $819.00 / $1,696.88	Facility		$513.53	$819.00	$1,696.88
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $450.07 / $770.21 / $1,020.69	Professional		$450.07	$770.21	$1,020.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $424.18 / $538.35 / $7,729.00	Facility		$424.18	$538.35	$7,729.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $0.55 / $2,409.82 / $5,745.00	Facility	50	$0.55	$2,409.82	$5,745.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $401.78 / $680.40 / $1,463.10	Professional		$401.78	$680.40	$1,463.10
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 $382.28 / $683.35 / $1,060.10	Professional		$382.28	$683.35	$1,060.10