Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $4,677.35 / $7,762.47	Facility		$1,174.90	$4,677.35	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $660.69 / $2,818.38	Professional		$478.63	$660.69	$2,818.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,995.26 / $1,995.26 / $4,365.16	Professional	50	$1,995.26	$1,995.26	$4,365.16
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $234.42 / $457.09 / $776.25	Professional	54	$234.42	$457.09	$776.25
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $36.31 / $93.33 / $831.76	Professional	55	$36.31	$93.33	$831.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,495.41 / $16,982.44	Facility		$3,019.95	$5,495.41	$16,982.44
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $5,370.32 / $9,549.93 / $24,547.09	Facility	50	$5,370.32	$9,549.93	$24,547.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,202.26 / $1,949.84	Professional		$812.83	$1,202.26	$1,949.84
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,202.26 / $1,778.28 / $2,818.38	Professional	50	$1,202.26	$1,778.28	$2,818.38
BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $645.65 / $933.25 / $1,513.56	Professional	54	$645.65	$933.25	$1,513.56
BCBS Facility/Professional Professional Modifier 55 Low / Median / High Price $158.49 / $234.42 / $380.19	Professional	55	$158.49	$234.42	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $4,786.30	Facility		$1,412.54	$1,995.26	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,548.82 / $2,570.40	Professional		$954.99	$1,548.82	$2,570.40
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $3,801.89	Facility		$1,548.82	$2,041.74	$3,801.89
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $2,187.76	Professional		$1,071.52	$1,348.96	$2,187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,238.72 / $5,011.87	Facility		$870.96	$2,238.72	$5,011.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,122.02 / $3,162.28	Professional		$776.25	$1,122.02	$3,162.28
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $1,584.89 / $1,584.89 / $2,454.71	Professional	50	$1,584.89	$1,584.89	$2,454.71
Medica Facility/Professional Professional Modifier 54 Low / Median / High Price $741.31 / $794.33 / $1,047.13	Professional	54	$741.31	$794.33	$1,047.13
Medica Facility/Professional Professional Modifier 55 Low / Median / High Price $35.48 / $134.90 / $537.03	Professional	55	$35.48	$134.90	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,248.07 / $8,912.51	Facility		$2,884.03	$5,248.07	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,047.13 / $1,949.84	Professional		$616.60	$1,047.13	$1,949.84