Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.29 / $1,622.94 / $3,361.74	Facility		$305.29	$1,622.94	$3,361.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.81 / $1,009.00 / $2,193.07	Professional		$297.81	$1,009.00	$2,193.07
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $439.64 / $2,332.66 / $6,015.33	Professional	50	$439.64	$2,332.66	$6,015.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $1,318.40 / $2,584.13	Facility		$0.98	$1,318.40	$2,584.13
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 $604.00 / $1,757.99 / $4,751.89	Professional		$604.00	$1,757.99	$4,751.89
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $883.65 / $2,481.87 / $7,127.85	Professional	50	$883.65	$2,481.87	$7,127.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,984.36 / $5,005.88 / $12,042.31	Facility		$2,984.36	$5,005.88	$12,042.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.87 / $1,389.36 / $5,185.80	Professional		$444.87	$1,389.36	$5,185.80
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,779.47 / $4,413.54 / $9,482.14	Facility		$2,779.47	$4,413.54	$9,482.14
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $586.37 / $1,892.20 / $4,676.85	Professional		$586.37	$1,892.20	$4,676.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $390.48 / $967.61 / $3,517.08	Facility		$390.48	$967.61	$3,517.08
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $4,250.88 / $4,250.88 / $8,494.37	Facility	50	$4,250.88	$4,250.88	$8,494.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,482.14 / $3,059.45 / $11,617.10	Professional		$1,482.14	$3,059.45	$11,617.10
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $567.00 / $2,414.48 / $5,106.28	Professional	50	$567.00	$2,414.48	$5,106.28
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 $1,560.15 / $2,886.01 / $5,625.87	Professional		$1,560.15	$2,886.01	$5,625.87