Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.10 / $1,288.36 / $2,625.75	Facility		$88.10	$1,288.36	$2,625.75
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,288.36 / $3,894.98 / $4,341.68	Facility	50	$1,288.36	$3,894.98	$4,341.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.29 / $165.20 / $428.23	Professional		$87.29	$165.20	$428.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $124.44 / $339.48 / $1,885.09	Professional	50	$124.44	$339.48	$1,885.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,184.58 / $2,102.21 / $4,012.48	Facility		$1,184.58	$2,102.21	$4,012.48
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 $172.35 / $316.74 / $625.26	Professional		$172.35	$316.74	$625.26
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $253.23 / $475.11 / $909.75	Professional	50	$253.23	$475.11	$909.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $447.85 / $635.44 / $1,528.64	Facility		$447.85	$635.44	$1,528.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.72 / $382.09 / $721.46	Professional		$194.72	$382.09	$721.46
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $364.26 / $580.94 / $1,203.65	Facility		$364.26	$580.94	$1,203.65
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $192.79 / $346.73 / $620.13	Professional		$192.79	$346.73	$620.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.93 / $256.58 / $1,947.00	Facility		$128.93	$256.58	$1,947.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $953.24 / $2,552.55 / $4,338.01	Facility	50	$953.24	$2,552.55	$4,338.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.37 / $350.90 / $776.25	Professional		$190.37	$350.90	$776.25
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $926.50 / $926.50 / $926.50	Professional	50	$926.50	$926.50	$926.50
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 $190.10 / $348.90 / $666.91	Professional		$190.10	$348.90	$666.91