Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.65 / $618.45 / $2,168.00	Facility		$110.65	$618.45	$2,168.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.65 / $525.10 / $808.56	Professional		$110.65	$525.10	$808.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $479.00 / $938.88	Facility		$0.98	$479.00	$938.88
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $0.02 / $1.50 / $1.50	Facility	50	$0.02	$1.50	$1.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.33 / $655.48 / $1,809.27	Professional		$220.33	$655.48	$1,809.27
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $322.25 / $925.20 / $2,713.91	Professional	50	$322.25	$925.20	$2,713.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,135.78 / $1,905.12 / $4,583.03	Facility		$1,135.78	$1,905.12	$4,583.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.26 / $507.27 / $1,997.19	Professional		$164.26	$507.27	$1,997.19
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,057.80 / $1,679.69 / $3,608.69	Facility		$1,057.80	$1,679.69	$3,608.69
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $210.98 / $678.63 / $1,754.97	Professional		$210.98	$678.63	$1,754.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $146.84 / $426.42 / $1,269.10	Facility		$146.84	$426.42	$1,269.10
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $7,384.64 / $7,384.64 / $7,384.64	Facility	50	$7,384.64	$7,384.64	$7,384.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $542.79 / $1,125.58 / $4,525.52	Professional		$542.79	$1,125.58	$4,525.52
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $1,044.09 / $1,044.09 / $1,044.09	Professional	50	$1,044.09	$1,044.09	$1,044.09
United Facility/Professional Facility Modifier Low / Median / High Price $563.00 / $1,749.00 / $2,883.00	Facility		$563.00	$1,749.00	$2,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $542.79 / $1,088.10 / $1,985.67	Professional		$542.79	$1,088.10	$1,985.67