Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $977.24 / $6,606.93	Facility		$93.33	$977.24	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $501.19 / $891.25	Professional		$93.33	$501.19	$891.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $138.04 / $1,348.96 / $2,041.74	Professional	50	$138.04	$1,348.96	$2,041.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,677.35 / $9,332.54	Facility		$2,754.23	$4,677.35	$9,332.54
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $4,786.30 / $8,709.64 / $21,877.62	Facility	50	$4,786.30	$8,709.64	$21,877.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $645.65 / $1,819.70	Professional		$165.96	$645.65	$1,819.70
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $251.19 / $977.24 / $2,630.27	Professional	50	$251.19	$977.24	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,238.72 / $5,370.32	Facility		$1,412.54	$2,238.72	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $676.08 / $2,511.89	Professional		$229.09	$676.08	$2,511.89
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,137.96 / $4,265.80	Facility		$1,737.80	$2,137.96	$4,265.80
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $851.14 / $2,187.76	Professional		$213.80	$851.14	$2,187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $1,047.13 / $3,981.07	Facility		$147.91	$1,047.13	$3,981.07
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,041.74 / $4,466.84 / $5,011.87	Facility	50	$2,041.74	$4,466.84	$5,011.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,258.93 / $2,454.71	Professional		$630.96	$1,258.93	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,162.28 / $6,165.95	Facility		$1,584.89	$3,162.28	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $537.03 / $1,949.84	Professional		$147.91	$537.03	$1,949.84