Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.29 / $2,252.78 / $9,427.79	Facility		$364.29	$2,252.78	$9,427.79
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,417.75 / $4,731.00 / $19,081.11	Facility	50	$3,417.75	$4,731.00	$19,081.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.12 / $1,603.19 / $3,034.57	Professional		$343.12	$1,603.19	$3,034.57
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $156.31 / $722.24 / $8,007.08	Professional	50	$156.31	$722.24	$8,007.08
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 $746.88 / $2,401.17 / $6,794.44	Professional		$746.88	$2,401.17	$6,794.44
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,103.97 / $3,579.68 / $10,191.66	Professional	50	$1,103.97	$3,579.68	$10,191.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,567.31 / $7,128.39 / $17,148.30	Facility		$4,567.31	$7,128.39	$17,148.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.80 / $1,708.79 / $7,752.98	Professional		$517.80	$1,708.79	$7,752.98
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $3,957.98 / $6,284.90 / $13,502.60	Facility		$3,957.98	$6,284.90	$13,502.60
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $705.68 / $2,269.90 / $6,846.73	Professional		$705.68	$2,269.90	$6,846.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $454.97 / $2,028.43 / $5,225.66	Facility		$454.97	$2,028.43	$5,225.66
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $0.59 / $19,140.30 / $29,765.84	Facility	50	$0.59	$19,140.30	$29,765.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,986.70 / $3,942.69 / $8,481.62	Professional		$1,986.70	$3,942.69	$8,481.62
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $676.53 / $1,169.04 / $1,594.31	Professional	50	$676.53	$1,169.04	$1,594.31
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 $1,986.14 / $3,364.76 / $7,250.00	Professional		$1,986.14	$3,364.76	$7,250.00