Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $794.33 / $7,244.36	Facility		$630.96	$794.33	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $1,862.09	Professional		$549.54	$741.31	$1,862.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $794.33 / $977.24 / $1,380.38	Professional	50	$794.33	$977.24	$1,380.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,495.41 / $13,182.57	Facility		$3,090.30	$5,495.41	$13,182.57
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 $977.24 / $1,445.44 / $2,398.83	Professional		$977.24	$1,445.44	$2,398.83
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,412.54 / $2,137.96 / $3,388.44	Professional	50	$1,412.54	$2,137.96	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,754.23 / $6,606.93	Facility		$1,949.84	$2,754.23	$6,606.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,905.46 / $3,162.28	Professional		$1,174.90	$1,905.46	$3,162.28
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,630.27 / $5,248.07	Facility		$2,137.96	$2,630.27	$5,248.07
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,819.70 / $2,951.21	Professional		$1,230.27	$1,819.70	$2,951.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,174.90 / $2,754.23	Facility		$691.83	$1,174.90	$2,754.23
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,570.40 / $6,606.93 / $7,413.10	Facility	50	$2,570.40	$6,606.93	$7,413.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,318.26 / $3,162.28	Professional		$724.44	$1,318.26	$3,162.28
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $1,621.81 / $2,754.23 / $2,818.38	Professional	50	$1,621.81	$2,754.23	$2,818.38
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 $707.95 / $1,174.90 / $2,344.23	Professional		$707.95	$1,174.90	$2,344.23