Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.53 / $575.34 / $2,525.00	Facility		$185.53	$575.34	$2,525.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.53 / $524.88 / $774.44	Professional		$185.53	$524.88	$774.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,998.00 / $2,998.00 / $2,998.00	Professional	50	$2,998.00	$2,998.00	$2,998.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $844.34 / $5,890.92 / $13,308.42	Facility		$844.34	$5,890.92	$13,308.42
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $8,539.04 / $12,955.59 / $22,716.48	Facility	50	$8,539.04	$12,955.59	$22,716.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.42 / $804.23 / $1,787.65	Professional		$327.42	$804.23	$1,787.65
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $491.13 / $1,083.47 / $2,681.48	Professional	50	$491.13	$1,083.47	$2,681.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,324.04 / $1,877.65 / $4,516.95	Facility		$1,324.04	$1,877.65	$4,516.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.82 / $891.19 / $2,212.40	Professional		$406.82	$891.19	$2,212.40
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,076.34 / $1,716.62 / $3,556.65	Facility		$1,076.34	$1,716.62	$3,556.65
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $376.12 / $866.03 / $1,911.25	Professional		$376.12	$866.03	$1,911.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $276.01 / $841.86 / $6,740.00	Facility		$276.01	$841.86	$6,740.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $705.33 / $1,462.12 / $2,810.75	Professional		$705.33	$1,462.12	$2,810.75
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 $627.54 / $1,309.04 / $2,121.48	Professional		$627.54	$1,309.04	$2,121.48