Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.24 / $616.26 / $2,168.00	Facility		$94.24	$616.26	$2,168.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.24 / $504.38 / $884.64	Professional		$94.24	$504.38	$884.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $4,446.68 / $4,446.68 / $4,700.60	Professional	50	$4,446.68	$4,446.68	$4,700.60
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 $177.28 / $693.50 / $2,002.72	Professional		$177.28	$693.50	$2,002.72
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $265.92 / $1,040.25 / $3,004.08	Professional	50	$265.92	$1,040.25	$3,004.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,504.28 / $2,133.26 / $5,131.85	Facility		$1,504.28	$2,133.26	$5,131.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.48 / $668.87 / $2,494.77	Professional		$233.48	$668.87	$2,494.77
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,222.86 / $1,950.31 / $4,040.83	Facility		$1,222.86	$1,950.31	$4,040.83
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $205.88 / $662.25 / $2,167.50	Professional		$205.88	$662.25	$2,167.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $159.27 / $1,013.50 / $3,202.00	Facility		$159.27	$1,013.50	$3,202.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,027.00 / $4,466.79 / $5,018.85	Facility	50	$2,027.00	$4,466.79	$5,018.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $694.46 / $1,609.70 / $2,440.52	Professional		$694.46	$1,609.70	$2,440.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $2,872.00 / $4,241.00	Facility		$1,755.00	$2,872.00	$4,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $402.61 / $1,394.69 / $2,233.09	Professional		$402.61	$1,394.69	$2,233.09