Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.21 / $309.87 / $2,525.00	Facility		$153.21	$309.87	$2,525.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.21 / $274.49 / $422.66	Professional		$153.21	$274.49	$422.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,692.00 / $1,692.00 / $2,422.03	Professional	50	$1,692.00	$1,692.00	$2,422.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $292.16 / $2,831.53 / $6,031.72	Facility		$292.16	$2,831.53	$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 $269.54 / $516.16 / $984.29	Professional		$269.54	$516.16	$984.29
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $404.31 / $759.56 / $1,476.44	Professional	50	$404.31	$759.56	$1,476.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $720.98 / $1,022.44 / $2,459.61	Facility		$720.98	$1,022.44	$2,459.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.00 / $631.98 / $1,217.17	Professional		$336.00	$631.98	$1,217.17
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $586.10 / $934.75 / $1,936.70	Facility		$586.10	$934.75	$1,936.70
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $310.64 / $577.42 / $1,057.50	Professional		$310.64	$577.42	$1,057.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $227.75 / $453.42 / $4,055.85	Facility		$227.75	$453.42	$4,055.85
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $6,867.00 / $6,867.00 / $6,867.00	Facility	50	$6,867.00	$6,867.00	$6,867.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $376.50 / $767.26 / $1,474.97	Professional		$376.50	$767.26	$1,474.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,523.00 / $4,467.39 / $6,361.00	Facility		$2,523.00	$4,467.39	$6,361.00
United Facility/Professional Professional Modifier Low / Median / High Price $376.50 / $664.78 / $1,165.93	Professional		$376.50	$664.78	$1,165.93