Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.36 / $361.75 / $2,168.00	Facility		$320.36	$361.75	$2,168.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.94 / $913.00 / $1,609.79	Professional		$326.94	$913.00	$1,609.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $755.43 / $1,629.21 / $3,529.62	Facility		$755.43	$1,629.21	$3,529.62
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,325.40 / $2,010.93 / $3,525.98	Facility	50	$1,325.40	$2,010.93	$3,525.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $486.86 / $702.70 / $1,186.00	Professional		$486.86	$702.70	$1,186.00
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $721.11 / $1,012.29 / $1,690.05	Professional	50	$721.11	$1,012.29	$1,690.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $841.83 / $1,194.44 / $2,873.38	Facility		$841.83	$1,194.44	$2,873.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $565.83 / $912.46 / $1,455.67	Professional		$565.83	$912.46	$1,455.67
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $684.70 / $1,092.00 / $2,262.50	Facility		$684.70	$1,092.00	$2,262.50
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $502.40 / $790.32 / $1,346.89	Professional		$502.40	$790.32	$1,346.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.90 / $699.76 / $2,107.12	Facility		$363.90	$699.76	$2,107.12
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,872.26 / $1,872.26 / $3,630.83	Facility	50	$1,872.26	$1,872.26	$3,630.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $401.34 / $732.89 / $3,335.40	Professional		$401.34	$732.89	$3,335.40
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $1,008.91 / $1,897.08 / $4,869.45	Professional	50	$1,008.91	$1,897.08	$4,869.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $2,872.00 / $4,241.00	Facility		$1,755.00	$2,872.00	$4,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $383.89 / $649.02 / $1,308.14	Professional		$383.89	$649.02	$1,308.14