Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.92 / $1,672.00 / $3,261.60	Facility		$177.92	$1,672.00	$3,261.60
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,420.24 / $3,420.24 / $3,420.24	Facility	50	$3,420.24	$3,420.24	$3,420.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.78 / $789.54 / $1,289.15	Professional		$172.78	$789.54	$1,289.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $79.47 / $1,144.56 / $1,287.27	Professional	50	$79.47	$1,144.56	$1,287.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $755.30 / $1,480.43	Facility		$0.98	$755.30	$1,480.43
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 $304.58 / $1,025.66 / $2,743.11	Professional		$304.58	$1,025.66	$2,743.11
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $448.85 / $1,452.93 / $4,105.60	Professional	50	$448.85	$1,452.93	$4,105.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,077.87 / $2,946.67 / $7,088.62	Facility		$2,077.87	$2,946.67	$7,088.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.77 / $1,122.66 / $3,444.34	Professional		$373.77	$1,122.66	$3,444.34
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,636.11 / $2,693.96 / $5,581.59	Facility		$1,636.11	$2,693.96	$5,581.59
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $345.56 / $1,114.65 / $2,992.50	Professional		$345.56	$1,114.65	$2,992.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $282.39 / $1,193.07 / $2,720.00	Facility		$282.39	$1,193.07	$2,720.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $192.45 / $754.02 / $7,511.44	Facility	50	$192.45	$754.02	$7,511.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,127.49 / $2,162.33 / $3,815.31	Professional		$1,127.49	$2,162.33	$3,815.31
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 $1,087.33 / $2,162.33 / $3,792.45	Professional		$1,087.33	$2,162.33	$3,792.45