Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.44 / $2,740.89 / $6,367.25	Facility		$338.44	$2,740.89	$6,367.25
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,417.75 / $3,417.75 / $3,417.75	Facility	50	$3,417.75	$3,417.75	$3,417.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.44 / $543.74 / $1,148.74	Professional		$338.44	$543.74	$1,148.74
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 $591.64 / $968.62 / $1,731.50	Professional		$591.64	$968.62	$1,731.50
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $845.06 / $1,413.23 / $2,519.34	Professional	50	$845.06	$1,413.23	$2,519.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,180.01 / $1,673.40 / $4,025.60	Facility		$1,180.01	$1,673.40	$4,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $690.83 / $1,194.16 / $2,016.89	Professional		$690.83	$1,194.16	$2,016.89
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $959.26 / $1,529.89 / $3,169.76	Facility		$959.26	$1,529.89	$3,169.76
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $648.92 / $1,007.96 / $1,873.07	Professional		$648.92	$1,007.96	$1,873.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $571.96 / $1,071.41 / $7,589.09	Facility		$571.96	$1,071.41	$7,589.09
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $0.83 / $2,362.50 / $7,556.70	Facility	50	$0.83	$2,362.50	$7,556.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $785.84 / $1,221.89 / $2,975.00	Professional		$785.84	$1,221.89	$2,975.00
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $1,415.39 / $1,586.08 / $6,308.55	Professional	50	$1,415.39	$1,586.08	$6,308.55
United Facility/Professional Facility Modifier Low / Median / High Price $3,293.00 / $6,652.00 / $9,810.00	Facility		$3,293.00	$6,652.00	$9,810.00
United Facility/Professional Professional Modifier Low / Median / High Price $663.28 / $1,332.88 / $2,064.52	Professional		$663.28	$1,332.88	$2,064.52