Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.58 / $926.21 / $5,066.71	Facility		$192.58	$926.21	$5,066.71
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,709.64 / $3,709.64 / $7,590.98	Facility	50	$3,709.64	$3,709.64	$7,590.98
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $96.29 / $463.11 / $463.11	Facility	52	$96.29	$463.11	$463.11
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $38.52 / $185.24 / $185.24	Facility	53	$38.52	$185.24	$185.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.58 / $862.58 / $1,337.67	Professional		$192.58	$862.58	$1,337.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,940.16 / $3,860.32 / $7,238.46	Facility		$1,940.16	$3,860.32	$7,238.46
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $4,644.39 / $7,046.57 / $12,355.53	Facility	50	$4,644.39	$7,046.57	$12,355.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $362.40 / $1,205.71 / $3,041.63	Professional		$362.40	$1,205.71	$3,041.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,274.96 / $3,226.17 / $7,760.99	Facility		$2,274.96	$3,226.17	$7,760.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $476.03 / $1,363.74 / $3,791.07	Professional		$476.03	$1,363.74	$3,791.07
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,849.37 / $2,949.49 / $6,111.01	Facility		$1,849.37	$2,949.49	$6,111.01
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $419.77 / $1,350.24 / $3,293.75	Professional		$419.77	$1,350.24	$3,293.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $325.45 / $1,507.81 / $5,089.89	Facility		$325.45	$1,507.81	$5,089.89
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $5,742.39 / $5,742.39 / $5,742.39	Facility	50	$5,742.39	$5,742.39	$5,742.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,165.59 / $2,531.84 / $3,851.84	Professional		$1,165.59	$2,531.84	$3,851.84
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 $1,067.72 / $2,157.09 / $3,673.63	Professional		$1,067.72	$2,157.09	$3,673.63