Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $1,479.11 / $4,168.69	Facility		$112.20	$1,479.11	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $257.04 / $933.25	Professional		$102.33	$257.04	$933.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,288.25 / $2,818.38	Facility		$812.83	$1,288.25	$2,818.38
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,445.44 / $2,630.27 / $6,606.93	Facility	50	$1,445.44	$2,630.27	$6,606.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $426.58 / $1,000.00	Professional		$181.97	$426.58	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,174.90 / $2,818.38	Facility		$812.83	$1,174.90	$2,818.38
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $147.91 / $147.91 / $147.91	Facility	52	$147.91	$147.91	$147.91
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $37.15 / $37.15 / $37.15	Facility	53	$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $645.65 / $1,318.26	Professional		$234.42	$645.65	$1,318.26
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,122.02 / $2,238.72	Facility		$912.01	$1,122.02	$2,238.72
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $524.81 / $1,174.90	Professional		$229.09	$524.81	$1,174.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $954.99 / $3,890.45	Facility		$181.97	$954.99	$3,890.45
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility	50	$2,691.53	$2,691.53	$2,691.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $741.31 / $1,862.09	Professional		$380.19	$741.31	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,238.72 / $5,754.40	Facility		$1,584.89	$2,238.72	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $416.87 / $1,047.13	Professional		$165.96	$416.87	$1,047.13