Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.67 / $134.85 / $2,042.00	Facility		$115.67	$134.85	$2,042.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,676.00 / $5,676.00 / $5,676.00	Facility	50	$5,676.00	$5,676.00	$5,676.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.67 / $150.03 / $242.99	Professional		$115.67	$150.03	$242.99
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $220.04 / $829.50 / $1,744.20	Professional	50	$220.04	$829.50	$1,744.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $221.81 / $504.98 / $1,052.56	Facility		$221.81	$504.98	$1,052.56
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $675.36 / $1,024.66 / $1,796.66	Facility	50	$675.36	$1,024.66	$1,796.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.14 / $348.20 / $488.01	Professional		$218.14	$348.20	$488.01
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $325.61 / $517.86 / $714.60	Professional	50	$325.61	$517.86	$714.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $337.57 / $478.97 / $1,152.22	Facility		$337.57	$478.97	$1,152.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.40 / $377.24 / $586.07	Professional		$229.40	$377.24	$586.07
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $306.89 / $437.89 / $907.26	Facility		$306.89	$437.89	$907.26
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $222.18 / $338.40 / $526.08	Professional		$222.18	$338.40	$526.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.85 / $236.60 / $373.65	Facility		$134.85	$236.60	$373.65
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $71.86 / $580.72 / $10,951.12	Facility	50	$71.86	$580.72	$10,951.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.65 / $270.33 / $1,415.00	Professional		$151.65	$270.33	$1,415.00
United Facility/Professional Facility Modifier Low / Median / High Price $382.00 / $1,727.00 / $2,883.00	Facility		$382.00	$1,727.00	$2,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.51 / $270.33 / $516.75	Professional		$147.51	$270.33	$516.75