Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.51 / $3,980.57 / $6,442.59	Facility		$276.51	$3,980.57	$6,442.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.51 / $458.28 / $731.90	Professional		$276.51	$458.28	$731.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $204.10 / $204.10 / $204.10	Professional	50	$204.10	$204.10	$204.10
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $138.26 / $229.14 / $322.20	Professional	52	$138.26	$229.14	$322.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,851.04 / $6,368.41 / $12,503.65	Facility		$2,851.04	$6,368.41	$12,503.65
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 $479.98 / $812.49 / $1,472.24	Professional		$479.98	$812.49	$1,472.24
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $695.10 / $1,157.76 / $2,142.11	Professional	50	$695.10	$1,157.76	$2,142.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,007.35 / $1,428.54 / $3,436.56	Facility		$1,007.35	$1,428.54	$3,436.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.83 / $988.72 / $1,709.97	Professional		$551.83	$988.72	$1,709.97
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $818.90 / $1,306.03 / $2,705.95	Facility		$818.90	$1,306.03	$2,705.95
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $528.16 / $851.18 / $1,588.04	Professional		$528.16	$851.18	$1,588.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $467.30 / $813.78 / $7,589.09	Facility		$467.30	$813.78	$7,589.09
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,392.50 / $4,142.25 / $8,043.98	Facility	50	$2,392.50	$4,142.25	$8,043.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $581.17 / $1,101.97 / $2,434.00	Professional		$581.17	$1,101.97	$2,434.00
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $808.50 / $5,085.45 / $5,225.85	Professional	50	$808.50	$5,085.45	$5,225.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,985.00 / $4,506.00 / $9,787.00	Facility		$2,985.00	$4,506.00	$9,787.00
United Facility/Professional Professional Modifier Low / Median / High Price $602.00 / $1,049.16 / $1,766.41	Professional		$602.00	$1,049.16	$1,766.41