Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.57 / $617.69 / $2,705.51	Facility		$127.57	$617.69	$2,705.51
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,111.11 / $3,111.11 / $3,532.58	Facility	50	$3,111.11	$3,111.11	$3,532.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.15 / $240.41 / $549.45	Professional		$120.15	$240.41	$549.45
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $171.84 / $399.32 / $2,892.75	Professional	50	$171.84	$399.32	$2,892.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.73 / $1,672.42 / $3,239.20	Facility		$602.73	$1,672.42	$3,239.20
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,078.36 / $3,153.33 / $5,529.09	Facility	50	$2,078.36	$3,153.33	$5,529.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.30 / $456.34 / $925.82	Professional		$248.30	$456.34	$925.82
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $363.62 / $684.51 / $1,362.08	Professional	50	$363.62	$684.51	$1,362.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $670.94 / $951.96 / $2,290.08	Facility		$670.94	$951.96	$2,290.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.95 / $554.76 / $1,076.75	Professional		$279.95	$554.76	$1,076.75
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $545.71 / $870.32 / $1,803.21	Facility		$545.71	$870.32	$1,803.21
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $277.18 / $509.40 / $921.83	Professional		$277.18	$509.40	$921.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.01 / $358.72 / $1,272.70	Facility		$151.01	$358.72	$1,272.70
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $3,681.45 / $3,681.45 / $4,090.50	Facility	50	$3,681.45	$3,681.45	$4,090.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $280.35 / $513.79 / $1,262.00	Professional		$280.35	$513.79	$1,262.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,187.00 / $2,872.00 / $4,241.00	Facility		$1,187.00	$2,872.00	$4,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $259.95 / $451.57 / $982.11	Professional		$259.95	$451.57	$982.11