Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.50 / $2,936.48 / $4,881.42	Facility		$442.50	$2,936.48	$4,881.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.76 / $448.38 / $2,270.48	Professional		$387.76	$448.38	$2,270.48
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,777.95 / $1,777.95 / $1,777.95	Professional	50	$1,777.95	$1,777.95	$1,777.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,849.96 / $3,659.32 / $7,138.18	Facility		$1,849.96	$3,659.32	$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 $782.30 / $1,269.31 / $1,628.06	Professional		$782.30	$1,269.31	$1,628.06
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,151.57 / $1,786.16 / $2,393.13	Professional	50	$1,151.57	$1,786.16	$2,393.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,101.10 / $1,562.32 / $3,758.37	Facility		$1,101.10	$1,562.32	$3,758.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $827.05 / $1,336.28 / $1,962.55	Professional		$827.05	$1,336.28	$1,962.55
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,218.27 / $1,428.34 / $2,959.35	Facility		$1,218.27	$1,428.34	$2,959.35
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $748.78 / $1,184.43 / $1,794.35	Professional		$748.78	$1,184.43	$1,794.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $493.90 / $966.07 / $4,518.10	Facility		$493.90	$966.07	$4,518.10
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,636.62 / $5,232.14 / $6,867.81	Facility	50	$1,636.62	$5,232.14	$6,867.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $524.57 / $1,022.23 / $3,150.90	Professional		$524.57	$1,022.23	$3,150.90
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $1,129.58 / $2,306.64 / $4,883.89	Professional	50	$1,129.58	$2,306.64	$4,883.89
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 $466.29 / $861.97 / $1,740.92	Professional		$466.29	$861.97	$1,740.92