Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $616.60 / $2,754.23	Facility		$109.65	$616.60	$2,754.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $323.59 / $912.01	Professional		$109.65	$323.59	$912.01
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $239.88 / $346.74 / $588.84	Professional	50	$239.88	$346.74	$588.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $660.69 / $1,584.89	Facility		$1.00	$660.69	$1,584.89
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $0.02 / $0.02 / $0.02	Facility	50	$0.02	$0.02	$0.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $630.96 / $1,621.81	Professional		$190.55	$630.96	$1,621.81
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $288.40 / $933.25 / $2,344.23	Professional	50	$288.40	$933.25	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,995.26 / $4,786.30	Facility		$1,230.27	$1,995.26	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $512.86 / $1,905.46	Professional		$154.88	$512.86	$1,905.46
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $3,801.89	Facility		$1,548.82	$1,905.46	$3,801.89
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $676.08 / $1,905.46	Professional		$218.78	$676.08	$1,905.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $389.05 / $1,318.26	Facility		$138.04	$389.05	$1,318.26
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility	50	$7,413.10	$7,413.10	$7,413.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,096.48 / $4,570.88	Professional		$537.03	$1,096.48	$4,570.88
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional	50	$1,047.13	$1,047.13	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,862.09 / $3,467.37	Facility		$602.56	$1,862.09	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $467.74 / $1,513.56	Professional		$125.89	$467.74	$1,513.56