Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $645.65 / $1,548.82	Facility		$512.86	$645.65	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $1,047.13	Professional		$457.09	$602.56	$1,047.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $316.23 / $645.65 / $645.65	Professional	50	$316.23	$645.65	$645.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,495.41 / $10,715.19	Facility		$2,818.38	$5,495.41	$10,715.19
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $5,495.41 / $9,772.37 / $25,118.86	Facility	50	$5,495.41	$9,772.37	$25,118.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,202.26 / $1,995.26	Professional		$794.33	$1,202.26	$1,995.26
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,122.02 / $1,778.28 / $2,884.03	Professional	50	$1,122.02	$1,778.28	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,238.72 / $5,370.32	Facility		$1,584.89	$2,238.72	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,584.89 / $2,570.40	Professional		$954.99	$1,584.89	$2,570.40
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,089.30 / $4,265.80	Facility		$1,737.80	$2,089.30	$4,265.80
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,513.56 / $2,398.83	Professional		$1,000.00	$1,513.56	$2,398.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $977.24 / $1,778.28	Facility		$602.56	$977.24	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,047.13 / $2,570.40	Professional		$588.84	$1,047.13	$2,570.40
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $1,348.96 / $1,380.38 / $2,344.23	Professional	50	$1,348.96	$1,380.38	$2,344.23
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 $588.84 / $954.99 / $1,949.84	Professional		$588.84	$954.99	$1,949.84