Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,949.84 / $3,630.78	Facility		$151.36	$1,949.84	$3,630.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,288.25 / $4,265.80 / $5,754.40	Facility	50	$1,288.25	$4,265.80	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $177.83 / $537.03	Professional		$87.10	$177.83	$537.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $131.83 / $302.00 / $1,258.93	Professional	50	$131.83	$302.00	$1,258.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,290.87 / $6,606.93	Facility		$1,412.54	$2,290.87	$6,606.93
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 $162.18 / $309.03 / $602.56	Professional		$162.18	$309.03	$602.56
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $234.42 / $446.68 / $831.76	Professional	50	$234.42	$446.68	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $676.08 / $1,584.89	Facility		$457.09	$676.08	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $380.19 / $758.58	Professional		$199.53	$380.19	$758.58
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $645.65 / $1,258.93	Facility		$512.86	$645.65	$1,258.93
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $363.08 / $630.96	Professional		$199.53	$363.08	$630.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $288.40 / $2,290.87	Facility		$123.03	$288.40	$2,290.87
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $891.25 / $2,570.40 / $4,365.16	Facility	50	$891.25	$2,570.40	$4,365.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $346.74 / $831.76	Professional		$173.78	$346.74	$831.76
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $933.25 / $933.25 / $933.25	Professional	50	$933.25	$933.25	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,238.72 / $5,495.41	Facility		$1,174.90	$2,238.72	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $234.42 / $512.86	Professional		$112.20	$234.42	$512.86