Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.57 / $753.64 / $4,557.00	Facility		$292.57	$753.64	$4,557.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,337.17 / $3,337.17 / $3,337.17	Facility	50	$3,337.17	$3,337.17	$3,337.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.57 / $691.80 / $1,130.47	Professional		$292.57	$691.80	$1,130.47
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $908.10 / $908.10 / $931.79	Professional	50	$908.10	$908.10	$931.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,426.25 / $11,660.74 / $24,304.92	Facility		$1,426.25	$11,660.74	$24,304.92
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $15,594.68 / $23,660.54 / $41,486.66	Facility	50	$15,594.68	$23,660.54	$41,486.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $598.39 / $1,238.51 / $2,503.40	Professional		$598.39	$1,238.51	$2,503.40
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $875.87 / $1,756.65 / $3,755.10	Professional	50	$875.87	$1,756.65	$3,755.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,841.92 / $2,613.42 / $6,286.94	Facility		$1,841.92	$2,613.42	$6,286.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.32 / $1,331.91 / $2,967.40	Professional		$636.32	$1,331.91	$2,967.40
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,498.12 / $2,389.30 / $4,950.35	Facility		$1,498.12	$2,389.30	$4,950.35
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $630.02 / $1,205.86 / $2,481.14	Professional		$630.02	$1,205.86	$2,481.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $332.87 / $877.73 / $2,781.16	Facility		$332.87	$877.73	$2,781.16
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $7,395.75 / $7,395.75 / $7,395.75	Facility	50	$7,395.75	$7,395.75	$7,395.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $847.96 / $1,577.69 / $3,063.31	Professional		$847.96	$1,577.69	$3,063.31
United Facility/Professional Facility Modifier Low / Median / High Price $5,457.00 / $9,370.00 / $12,774.00	Facility		$5,457.00	$9,370.00	$12,774.00
United Facility/Professional Professional Modifier Low / Median / High Price $809.41 / $1,511.68 / $2,889.49	Professional		$809.41	$1,511.68	$2,889.49