Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.36 / $798.18 / $7,324.50	Facility		$630.36	$798.18	$7,324.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.99 / $703.74 / $1,294.49	Professional		$519.99	$703.74	$1,294.49
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $733.32 / $835.47 / $4,506.14	Professional	50	$733.32	$835.47	$4,506.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,551.19 / $4,527.68 / $9,059.92	Facility		$2,551.19	$4,527.68	$9,059.92
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $5,328.39 / $8,084.34 / $14,175.17	Facility	50	$5,328.39	$8,084.34	$14,175.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $990.41 / $1,451.03 / $2,532.32	Professional		$990.41	$1,451.03	$2,532.32
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,448.25 / $2,117.92 / $3,534.00	Professional	50	$1,448.25	$2,117.92	$3,534.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,850.34 / $2,625.37 / $6,315.68	Facility		$1,850.34	$2,625.37	$6,315.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,084.60 / $1,858.10 / $3,136.45	Professional		$1,084.60	$1,858.10	$3,136.45
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,504.97 / $2,400.21 / $4,972.97	Facility		$1,504.97	$2,400.21	$4,972.97
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,045.58 / $1,698.44 / $2,910.14	Professional		$1,045.58	$1,698.44	$2,910.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $696.88 / $1,143.30 / $2,735.00	Facility		$696.88	$1,143.30	$2,735.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,551.50 / $6,558.36 / $7,345.24	Facility	50	$2,551.50	$6,558.36	$7,345.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $808.84 / $1,396.73 / $2,997.16	Professional		$808.84	$1,396.73	$2,997.16
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $1,629.53 / $2,701.93 / $7,410.83	Professional	50	$1,629.53	$2,701.93	$7,410.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,735.00 / $4,974.00 / $8,812.00	Facility		$2,735.00	$4,974.00	$8,812.00
United Facility/Professional Professional Modifier Low / Median / High Price $808.84 / $1,283.48 / $2,755.71	Professional		$808.84	$1,283.48	$2,755.71