Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,949.84 / $3,090.30	Facility		$251.19	$1,949.84	$3,090.30
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,288.25 / $2,630.27 / $4,365.16	Facility	50	$1,288.25	$2,630.27	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $239.88 / $1,000.00	Professional		$102.33	$239.88	$1,000.00
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $141.25 / $190.55 / $1,548.82	Professional	22	$141.25	$190.55	$1,548.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $151.36 / $354.81 / $1,348.96	Professional	50	$151.36	$354.81	$1,348.96
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $36.31 / $36.31 / $37.15	Professional	53	$36.31	$36.31	$37.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,778.28 / $4,073.80	Facility		$660.69	$1,778.28	$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 $199.53 / $398.11 / $812.83	Professional		$199.53	$398.11	$812.83
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $288.40 / $575.44 / $1,122.02	Professional	50	$288.40	$575.44	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $933.25 / $2,238.72	Facility		$645.65	$933.25	$2,238.72
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $223.87 / $223.87 / $223.87	Facility	22	$223.87	$223.87	$223.87
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $38.02 / $38.02 / $38.02	Facility	53	$38.02	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $478.63 / $1,047.13	Professional		$234.42	$478.63	$1,047.13
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $891.25 / $1,737.80	Facility		$724.44	$891.25	$1,737.80
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $436.52 / $933.25	Professional		$245.47	$436.52	$933.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $758.58 / $2,344.23	Facility		$151.36	$758.58	$2,344.23
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,288.25 / $2,398.83 / $3,630.78	Facility	50	$1,288.25	$2,398.83	$3,630.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $478.63 / $1,122.02	Professional		$234.42	$478.63	$1,122.02
Medica Facility/Professional Professional Modifier 53 Low / Median / High Price $416.87 / $416.87 / $416.87	Professional	53	$416.87	$416.87	$416.87
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 $138.04 / $302.00 / $707.95	Professional		$138.04	$302.00	$707.95