Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $295.12 / $2,691.53	Facility		$218.78	$295.12	$2,691.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $512.86	Professional		$218.78	$288.40	$512.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $346.74 / $630.96 / $912.01	Professional	50	$346.74	$630.96	$912.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,778.28 / $4,168.69	Facility		$870.96	$1,778.28	$4,168.69
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,288.25 / $2,290.87 / $5,888.44	Facility	50	$1,288.25	$2,290.87	$5,888.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $812.83	Professional		$338.84	$501.19	$812.83
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $478.63 / $741.31 / $1,122.02	Professional	50	$478.63	$741.31	$1,122.02
BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $257.04 / $389.05 / $602.56	Professional	54	$257.04	$389.05	$602.56
BCBS Facility/Professional Professional Modifier 55 Low / Median / High Price $64.57 / $97.72 / $151.36	Professional	55	$64.57	$97.72	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $912.01 / $2,187.76	Facility		$645.65	$912.01	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $645.65 / $1,047.13	Professional		$398.11	$645.65	$1,047.13
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $1,698.24	Facility		$707.95	$870.96	$1,698.24
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $616.60 / $977.24	Professional		$416.87	$616.60	$977.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $436.52 / $1,819.70	Facility		$263.03	$436.52	$1,819.70
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $3,715.35 / $3,715.35 / $3,801.89	Facility	50	$3,715.35	$3,715.35	$3,801.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $478.63 / $3,235.94	Professional		$269.15	$478.63	$3,235.94
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $524.81 / $691.83 / $3,090.30	Professional	50	$524.81	$691.83	$3,090.30
Medica Facility/Professional Professional Modifier 54 Low / Median / High Price $302.00 / $302.00 / $302.00	Professional	54	$302.00	$302.00	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,137.96 / $4,265.80	Facility		$1,000.00	$2,137.96	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $416.87 / $812.83	Professional		$251.19	$416.87	$812.83