Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $588.84 / $6,606.93	Facility		$457.09	$588.84	$6,606.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility	50	$3,388.44	$3,388.44	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $562.34 / $1,000.00	Professional		$398.11	$562.34	$1,000.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $616.60 / $616.60 / $1,819.70	Professional	50	$616.60	$616.60	$1,819.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $5,495.41 / $10,715.19	Facility		$2,511.89	$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 $707.95 / $1,071.52 / $1,778.28	Professional		$707.95	$1,071.52	$1,778.28
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,023.29 / $1,584.89 / $2,511.89	Professional	50	$1,023.29	$1,584.89	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $4,897.79	Facility		$1,445.44	$2,041.74	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,412.54 / $2,290.87	Professional		$870.96	$1,412.54	$2,290.87
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,949.84 / $3,801.89	Facility		$1,584.89	$1,949.84	$3,801.89
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,348.96 / $2,187.76	Professional		$912.01	$1,348.96	$2,187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $851.14 / $2,754.23	Facility		$524.81	$851.14	$2,754.23
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,548.82 / $5,623.41 / $6,456.54	Facility	50	$1,548.82	$5,623.41	$6,456.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $933.25 / $3,019.95	Professional		$512.86	$933.25	$3,019.95
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $1,445.44 / $2,187.76 / $5,623.41	Professional	50	$1,445.44	$2,187.76	$5,623.41
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 $501.19 / $831.76 / $1,737.80	Professional		$501.19	$831.76	$1,737.80