Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.93 / $5,965.00 / $19,049.68	Facility		$395.93	$5,965.00	$19,049.68
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,815.87 / $6,781.17 / $13,527.00	Facility	50	$4,815.87	$6,781.17	$13,527.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.88 / $640.64 / $2,790.15	Professional		$361.88	$640.64	$2,790.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,192.17 / $8,994.75 / $20,318.18	Facility		$2,192.17	$8,994.75	$20,318.18
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $11,200.32 / $19,898.56 / $35,000.99	Facility	50	$11,200.32	$19,898.56	$35,000.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $750.26 / $1,269.00 / $1,539.11	Professional		$750.26	$1,269.00	$1,539.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $927.54 / $1,447.66 / $3,482.53	Facility		$927.54	$1,447.66	$3,482.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $737.01 / $1,321.62 / $1,817.07	Professional		$737.01	$1,321.62	$1,817.07
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $803.80 / $1,321.08 / $2,742.15	Facility		$803.80	$1,321.08	$2,742.15
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $732.56 / $1,205.76 / $1,661.34	Professional		$732.56	$1,205.76	$1,661.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $494.85 / $1,088.67 / $10,364.79	Facility		$494.85	$1,088.67	$10,364.79
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $4,890.43 / $8,849.35 / $16,120.28	Facility	50	$4,890.43	$8,849.35	$16,120.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $486.28 / $984.37 / $3,959.35	Professional		$486.28	$984.37	$3,959.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,437.00 / $9,370.00 / $12,774.00	Facility		$3,437.00	$9,370.00	$12,774.00
United Facility/Professional Professional Modifier Low / Median / High Price $473.68 / $884.65 / $1,680.35	Professional		$473.68	$884.65	$1,680.35