Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $3,981.07 / $6,456.54	Facility		$275.42	$3,981.07	$6,456.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Facility	50	$8,912.51	$8,912.51	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $457.09 / $1,023.29	Professional		$275.42	$457.09	$1,023.29
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $245.47 / $245.47 / $245.47	Professional	50	$245.47	$245.47	$245.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $7,413.10 / $19,498.45	Facility		$3,715.35	$7,413.10	$19,498.45
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $7,413.10 / $13,182.57 / $33,884.42	Facility	50	$7,413.10	$13,182.57	$33,884.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $758.58 / $1,380.38	Professional		$446.68	$758.58	$1,380.38
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $676.08 / $1,122.02 / $1,905.46	Professional	50	$676.08	$1,122.02	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $3,630.78	Facility		$1,071.52	$1,513.56	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,047.13 / $1,698.24	Professional		$549.54	$1,047.13	$1,698.24
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $2,818.38	Facility		$1,148.15	$1,445.44	$2,818.38
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $870.96 / $1,584.89	Professional		$549.54	$870.96	$1,584.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,202.26 / $8,128.31	Facility		$467.74	$1,202.26	$8,128.31
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,398.83 / $4,168.69 / $8,128.31	Facility	50	$2,398.83	$4,168.69	$8,128.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,023.29 / $2,454.71	Professional		$537.03	$1,023.29	$2,454.71
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $812.83 / $5,128.61 / $5,248.07	Professional	50	$812.83	$5,128.61	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $6,025.60 / $10,715.19	Facility		$3,019.95	$6,025.60	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $831.76 / $1,412.54	Professional		$478.63	$831.76	$1,412.54