Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.41 / $4,557.00 / $7,980.72	Facility		$281.41	$4,557.00	$7,980.72
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,696.25 / $5,696.25 / $6,636.00	Facility	50	$5,696.25	$5,696.25	$6,636.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.41 / $1,222.75 / $1,659.69	Professional		$281.41	$1,222.75	$1,659.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $605.78 / $3,816.73 / $3,816.73	Professional	50	$605.78	$3,816.73	$3,816.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,505.60 / $6,498.38 / $12,890.36	Facility		$3,505.60	$6,498.38	$12,890.36
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $7,268.16 / $11,027.38 / $19,335.54	Facility	50	$7,268.16	$11,027.38	$19,335.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.63 / $1,513.84 / $3,541.69	Professional		$489.63	$1,513.84	$3,541.69
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $715.31 / $1,950.75 / $5,300.87	Professional	50	$715.31	$1,950.75	$5,300.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,656.50 / $3,767.25 / $9,062.62	Facility		$2,656.50	$3,767.25	$9,062.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $582.29 / $1,748.99 / $4,373.76	Professional		$582.29	$1,748.99	$4,373.76
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,091.73 / $3,444.17 / $7,135.93	Facility		$2,091.73	$3,444.17	$7,135.93
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $538.35 / $1,721.86 / $3,800.00	Professional		$538.35	$1,721.86	$3,800.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $497.48 / $3,178.85 / $7,556.71	Facility		$497.48	$3,178.85	$7,556.71
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $3,304.48 / $6,263.71 / $8,284.50	Facility	50	$3,304.48	$6,263.71	$8,284.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $965.81 / $3,044.56 / $6,105.38	Professional		$965.81	$3,044.56	$6,105.38
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $821.65 / $934.38 / $11,689.65	Professional	50	$821.65	$934.38	$11,689.65
United Facility/Professional Facility Modifier Low / Median / High Price $3,256.00 / $4,968.00 / $9,787.00	Facility		$3,256.00	$4,968.00	$9,787.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,403.88 / $2,928.38 / $5,603.73	Professional		$1,403.88	$2,928.38	$5,603.73