Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.55 / $2,525.00 / $11,891.15	Facility		$418.55	$2,525.00	$11,891.15
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,970.01 / $6,970.01 / $6,970.01	Facility	50	$6,970.01	$6,970.01	$6,970.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.93 / $533.91 / $1,059.58	Professional		$407.93	$533.91	$1,059.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,936.42 / $6,441.66 / $13,546.10	Facility		$1,936.42	$6,441.66	$13,546.10
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $8,691.53 / $13,186.96 / $23,122.16	Facility	50	$8,691.53	$13,186.96	$23,122.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $762.36 / $1,252.58 / $1,866.40	Professional		$762.36	$1,252.58	$1,866.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,281.08 / $1,816.74 / $4,370.39	Facility		$1,281.08	$1,816.74	$4,370.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $917.00 / $1,566.43 / $2,217.12	Professional		$917.00	$1,566.43	$2,217.12
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,041.43 / $1,660.93 / $3,441.26	Facility		$1,041.43	$1,660.93	$3,441.26
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $789.83 / $1,280.20 / $2,051.44	Professional		$789.83	$1,280.20	$2,051.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $556.71 / $907.80 / $4,974.00	Facility		$556.71	$907.80	$4,974.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $9,002.70 / $9,002.70 / $9,002.70	Facility	50	$9,002.70	$9,002.70	$9,002.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $693.78 / $1,428.37 / $3,301.00	Professional		$693.78	$1,428.37	$3,301.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,735.00 / $4,974.00 / $8,812.00	Facility		$2,735.00	$4,974.00	$8,812.00
United Facility/Professional Professional Modifier Low / Median / High Price $693.78 / $1,245.67 / $2,086.09	Professional		$693.78	$1,245.67	$2,086.09