Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.87 / $1,863.04 / $2,525.00	Facility		$326.87	$1,863.04	$2,525.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,403.00 / $2,403.00 / $19,081.12	Facility	50	$2,403.00	$2,403.00	$19,081.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.26 / $1,412.45 / $2,219.25	Professional		$285.26	$1,412.45	$2,219.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $608.98 / $1,615.71 / $2,360.30	Professional	50	$608.98	$1,615.71	$2,360.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,050.00 / $11,993.00 / $19,529.31	Facility		$6,050.00	$11,993.00	$19,529.31
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $12,530.52 / $19,011.54 / $33,335.05	Facility	50	$12,530.52	$19,011.54	$33,335.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $669.16 / $2,104.17 / $5,647.44	Professional		$669.16	$2,104.17	$5,647.44
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $992.13 / $3,013.61 / $8,471.16	Professional	50	$992.13	$3,013.61	$8,471.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,527.68 / $5,917.23 / $14,234.70	Facility		$3,527.68	$5,917.23	$14,234.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $476.49 / $1,543.59 / $6,304.88	Professional		$476.49	$1,543.59	$6,304.88
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $3,285.49 / $5,217.06 / $11,208.43	Facility		$3,285.49	$5,217.06	$11,208.43
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $635.84 / $2,045.25 / $5,686.10	Professional		$635.84	$2,045.25	$5,686.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $409.73 / $1,731.77 / $4,288.08	Facility		$409.73	$1,731.77	$4,288.08
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $8,832.95 / $9,695.54 / $16,092.02	Facility	50	$8,832.95	$9,695.54	$16,092.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,646.77 / $3,285.36 / $6,957.30	Professional		$1,646.77	$3,285.36	$6,957.30
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $607.04 / $930.97 / $3,226.50	Professional	50	$607.04	$930.97	$3,226.50
United Facility/Professional Facility Modifier Low / Median / High Price $5,577.00 / $10,743.00 / $12,774.00	Facility		$5,577.00	$10,743.00	$12,774.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,646.77 / $2,717.17 / $5,938.22	Professional		$1,646.77	$2,717.17	$5,938.22