Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.15 / $731.86 / $2,525.00	Facility		$152.15	$731.86	$2,525.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $76.08 / $365.93 / $365.93	Facility	52	$76.08	$365.93	$365.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.65 / $663.00 / $997.90	Professional		$138.65	$663.00	$997.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,182.67 / $2,635.43 / $5,691.54	Facility		$1,182.67	$2,635.43	$5,691.54
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,651.84 / $5,540.64 / $9,715.03	Facility	50	$3,651.84	$5,540.64	$9,715.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $264.11 / $811.95 / $2,230.30	Professional		$264.11	$811.95	$2,230.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,666.00 / $2,362.59 / $5,683.54	Facility		$1,666.00	$2,362.59	$5,683.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.50 / $982.84 / $2,778.20	Professional		$346.50	$982.84	$2,778.20
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,354.34 / $2,159.98 / $4,475.22	Facility		$1,354.34	$2,159.98	$4,475.22
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $305.55 / $982.84 / $2,413.75	Professional		$305.55	$982.84	$2,413.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $224.24 / $1,070.90 / $3,142.00	Facility		$224.24	$1,070.90	$3,142.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $778.04 / $1,754.07 / $3,372.00	Professional		$778.04	$1,754.07	$3,372.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $2,872.00 / $4,241.00	Facility		$1,755.00	$2,872.00	$4,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $618.47 / $1,494.45 / $2,665.50	Professional		$618.47	$1,494.45	$2,665.50