Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.54 / $222.57 / $2,042.00	Facility		$77.54	$222.57	$2,042.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $677.91 / $677.91 / $2,103.30	Facility	50	$677.91	$677.91	$2,103.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $177.30 / $808.45	Professional		$77.54	$177.30	$808.45
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $267.48 / $1,119.00 / $1,179.90	Professional	50	$267.48	$1,119.00	$1,179.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $516.02 / $1,316.46 / $6,256.08	Facility		$516.02	$1,316.46	$6,256.08
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $909.23 / $1,379.50 / $2,418.84	Facility	50	$909.23	$1,379.50	$2,418.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.97 / $308.60 / $669.02	Professional		$133.97	$308.60	$669.02
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $195.72 / $424.65 / $1,001.34	Professional	50	$195.72	$424.65	$1,001.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $495.25 / $702.33 / $1,689.54	Facility		$495.25	$702.33	$1,689.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.53 / $351.65 / $838.78	Professional		$160.53	$351.65	$838.78
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $389.96 / $642.10 / $1,330.35	Facility		$389.96	$642.10	$1,330.35
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $148.41 / $330.21 / $728.75	Professional		$148.41	$330.21	$728.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.04 / $348.91 / $1,966.00	Facility		$131.04	$348.91	$1,966.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $744.15 / $2,049.53 / $4,637.97	Facility	50	$744.15	$2,049.53	$4,637.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $224.91 / $426.13 / $851.05	Professional		$224.91	$426.13	$851.05
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $1,605.46 / $1,605.46 / $1,605.46	Professional	50	$1,605.46	$1,605.46	$1,605.46
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 $221.91 / $395.61 / $819.08	Professional		$221.91	$395.61	$819.08