Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $1,737.80 / $2,691.53	Facility		$125.89	$1,737.80	$2,691.53
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility	50	$3,548.13	$3,548.13	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $251.19 / $691.83	Professional		$123.03	$251.19	$691.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $251.19 / $398.11 / $2,511.89	Professional	50	$251.19	$398.11	$2,511.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,862.09 / $4,073.80	Facility		$776.25	$1,862.09	$4,073.80
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,089.30 / $3,715.35 / $9,549.93	Facility	50	$2,089.30	$3,715.35	$9,549.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $446.68 / $891.25	Professional		$234.42	$446.68	$891.25
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $346.74 / $645.65 / $1,230.27	Professional	50	$346.74	$645.65	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,000.00 / $2,398.83	Facility		$691.83	$1,000.00	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $549.54 / $1,122.02	Professional		$275.42	$549.54	$1,122.02
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $954.99 / $1,905.46	Facility		$776.25	$954.99	$1,905.46
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $512.86 / $1,000.00	Professional		$288.40	$512.86	$1,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $380.19 / $2,398.83	Facility		$144.54	$380.19	$2,398.83
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $3,715.35 / $3,715.35 / $4,073.80	Facility	50	$3,715.35	$3,715.35	$4,073.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $489.78 / $1,445.44	Professional		$257.04	$489.78	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,238.72 / $4,265.80	Facility		$977.24	$2,238.72	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $338.84 / $758.58	Professional		$162.18	$338.84	$758.58