Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.61 / $3,013.40 / $6,696.86	Facility		$145.61	$3,013.40	$6,696.86
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,157.50 / $2,688.02 / $7,325.92	Facility	50	$1,157.50	$2,688.02	$7,325.92
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $72.81 / $201.00 / $201.00	Facility	52	$72.81	$201.00	$201.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.12 / $80.40 / $80.40	Facility	53	$29.12	$80.40	$80.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.61 / $402.00 / $2,155.55	Professional		$145.61	$402.00	$2,155.55
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $108.25 / $596.76 / $1,005.30	Professional	50	$108.25	$596.76	$1,005.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,501.19 / $5,677.23 / $12,389.06	Facility		$2,501.19	$5,677.23	$12,389.06
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $7,949.16 / $12,060.61 / $21,147.21	Facility	50	$7,949.16	$12,060.61	$21,147.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.79 / $598.24 / $1,364.35	Professional		$279.79	$598.24	$1,364.35
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $419.69 / $840.21 / $2,046.53	Professional	50	$419.69	$840.21	$2,046.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,008.19 / $1,429.74 / $3,439.43	Facility		$1,008.19	$1,429.74	$3,439.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.24 / $750.68 / $1,607.07	Professional		$363.24	$750.68	$1,607.07
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $819.59 / $1,307.11 / $2,708.21	Facility		$819.59	$1,307.11	$2,708.21
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $323.01 / $632.66 / $1,396.25	Professional		$323.01	$632.66	$1,396.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $246.08 / $1,090.30 / $4,974.00	Facility		$246.08	$1,090.30	$4,974.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $998.23 / $2,473.88 / $7,077.60	Facility	50	$998.23	$2,473.88	$7,077.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $684.50 / $1,288.17 / $1,971.59	Professional		$684.50	$1,288.17	$1,971.59
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 $530.83 / $1,114.03 / $1,804.01	Professional		$530.83	$1,114.03	$1,804.01