Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.13 / $1,907.00 / $3,561.68	Facility		$188.13	$1,907.00	$3,561.68
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,952.77 / $4,477.28 / $7,134.00	Facility	50	$1,952.77	$4,477.28	$7,134.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.13 / $418.39 / $758.40	Professional		$188.13	$418.39	$758.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $140.22 / $407.60 / $3,867.33	Professional	50	$140.22	$407.60	$3,867.33
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 $378.09 / $727.42 / $1,508.86	Professional		$378.09	$727.42	$1,508.86
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $544.89 / $1,035.48 / $2,263.29	Professional	50	$544.89	$1,035.48	$2,263.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,117.95 / $1,586.21 / $3,815.84	Facility		$1,117.95	$1,586.21	$3,815.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.94 / $834.31 / $1,865.47	Professional		$412.94	$834.31	$1,865.47
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $909.28 / $1,450.18 / $3,004.60	Facility		$909.28	$1,450.18	$3,004.60
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $408.86 / $762.80 / $1,518.52	Professional		$408.86	$762.80	$1,518.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.24 / $611.22 / $3,203.52	Facility		$275.24	$611.22	$3,203.52
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $784.89 / $4,477.50 / $6,273.45	Facility	50	$784.89	$4,477.50	$6,273.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $460.50 / $837.28 / $1,693.77	Professional		$460.50	$837.28	$1,693.77
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 $460.50 / $795.42 / $1,597.62	Professional		$460.50	$795.42	$1,597.62