Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.66 / $587.09 / $6,662.35	Facility		$460.66	$587.09	$6,662.35
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,363.00 / $3,363.00 / $3,363.00	Facility	50	$3,363.00	$3,363.00	$3,363.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $429.42 / $587.09 / $1,167.01	Professional		$429.42	$587.09	$1,167.01
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $5,852.48 / $5,852.48 / $5,852.48	Professional	50	$5,852.48	$5,852.48	$5,852.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,941.23 / $4,065.55 / $8,639.27	Facility		$1,941.23	$4,065.55	$8,639.27
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 $719.58 / $1,057.89 / $1,846.80	Professional		$719.58	$1,057.89	$1,846.80
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,060.65 / $1,543.79 / $2,585.06	Professional	50	$1,060.65	$1,543.79	$2,585.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,361.24 / $1,931.40 / $4,646.25	Facility		$1,361.24	$1,931.40	$4,646.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $797.64 / $1,360.24 / $2,304.86	Professional		$797.64	$1,360.24	$2,304.86
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,107.16 / $1,765.76 / $3,658.46	Facility		$1,107.16	$1,765.76	$3,658.46
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $763.09 / $1,248.11 / $2,166.38	Professional		$763.09	$1,248.11	$2,166.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $519.98 / $832.72 / $3,312.00	Facility		$519.98	$832.72	$3,312.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,551.71 / $5,663.70 / $6,522.09	Facility	50	$1,551.71	$5,663.70	$6,522.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $545.38 / $949.73 / $2,197.13	Professional		$545.38	$949.73	$2,197.13
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $1,448.83 / $2,069.23 / $5,395.95	Professional	50	$1,448.83	$2,069.23	$5,395.95
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 $570.00 / $896.97 / $1,902.62	Professional		$570.00	$896.97	$1,902.62