Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.95 / $2,317.86 / $10,422.37	Facility		$365.95	$2,317.86	$10,422.37
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,417.75 / $6,636.00 / $27,679.20	Facility	50	$3,417.75	$6,636.00	$27,679.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $482.45 / $1,406.70 / $9,128.54	Professional	50	$482.45	$1,406.70	$9,128.54
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 50 Low / Median / High Price $1,111.09 / $3,671.60 / $10,459.65	Professional	50	$1,111.09	$3,671.60	$10,459.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,362.96 / $7,318.30 / $17,605.16	Facility		$4,362.96	$7,318.30	$17,605.16
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $4,063.43 / $6,452.34 / $13,862.34	Facility		$4,063.43	$6,452.34	$13,862.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $457.79 / $2,053.98 / $5,425.80	Facility		$457.79	$2,053.98	$5,425.80
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $9,593.86 / $19,140.30 / $32,283.80	Facility	50	$9,593.86	$19,140.30	$32,283.80
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $1,019.45 / $1,738.25 / $4,324.05	Professional	50	$1,019.45	$1,738.25	$4,324.05
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