Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $1,380.38 / $3,548.13	Facility		$57.54	$1,380.38	$3,548.13
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility	50	$2,290.87	$2,290.87	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $186.21 / $794.33	Professional		$57.54	$186.21	$794.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $81.28 / $190.55 / $1,000.00	Professional	50	$81.28	$190.55	$1,000.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $2,041.74 / $7,079.46	Facility		$1.00	$2,041.74	$7,079.46
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $0.02 / $0.02 / $0.02	Facility	50	$0.02	$0.02	$0.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $295.12 / $758.58	Professional		$104.71	$295.12	$758.58
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $151.36 / $426.58 / $1,071.52	Professional	50	$151.36	$426.58	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $912.01 / $2,187.76	Facility		$630.96	$912.01	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $302.00 / $1,000.00	Professional		$128.82	$302.00	$1,000.00
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $1,737.80	Facility		$707.95	$870.96	$1,737.80
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $346.74 / $891.25	Professional		$125.89	$346.74	$891.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $331.13 / $1,380.38	Facility		$77.62	$331.13	$1,380.38
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $489.78 / $1,949.84 / $2,089.30	Facility	50	$489.78	$1,949.84	$2,089.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $346.74 / $891.25	Professional		$173.78	$346.74	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,862.09 / $3,467.37	Facility		$380.19	$1,862.09	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $194.98 / $588.84	Professional		$75.86	$194.98	$588.84