Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.78 / $447.61 / $3,429.41	Facility		$187.78	$447.61	$3,429.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,945.00 / $2,459.78 / $3,111.33	Facility	50	$1,945.00	$2,459.78	$3,111.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.78 / $412.47 / $980.81	Professional		$187.78	$412.47	$980.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $273.51 / $315.20 / $2,780.00	Professional	50	$273.51	$315.20	$2,780.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,637.40 / $3,857.56 / $7,138.18	Facility		$1,637.40	$3,857.56	$7,138.18
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $4,402.57 / $6,679.66 / $11,712.19	Facility	50	$4,402.57	$6,679.66	$11,712.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.77 / $724.34 / $1,496.35	Professional		$376.77	$724.34	$1,496.35
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $549.60 / $1,026.89 / $2,244.53	Professional	50	$549.60	$1,026.89	$2,244.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,108.69 / $1,573.07 / $3,784.23	Facility		$1,108.69	$1,573.07	$3,784.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.21 / $832.82 / $1,776.80	Professional		$412.21	$832.82	$1,776.80
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $901.75 / $1,438.16 / $2,979.71	Facility		$901.75	$1,438.16	$2,979.71
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $408.13 / $761.45 / $1,504.53	Professional		$408.13	$761.45	$1,504.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $274.77 / $626.27 / $4,070.06	Facility		$274.77	$626.27	$4,070.06
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $783.71 / $4,893.47 / $6,717.33	Facility	50	$783.71	$4,893.47	$6,717.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $465.41 / $846.20 / $1,710.85	Professional		$465.41	$846.20	$1,710.85
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $538.54 / $538.54 / $538.54	Professional	50	$538.54	$538.54	$538.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,412.00 / $4,746.00 / $8,812.00	Facility		$2,412.00	$4,746.00	$8,812.00
United Facility/Professional Professional Modifier Low / Median / High Price $450.86 / $790.46 / $1,615.20	Professional		$450.86	$790.46	$1,615.20