Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $676.08 / $676.08	Facility		$478.63	$676.08	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $616.60 / $1,096.48	Professional		$446.68	$616.60	$1,096.48
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $208.93 / $223.87	Professional	50	$208.93	$208.93	$223.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $5,495.41 / $10,715.19	Facility		$2,691.53	$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 $758.58 / $1,174.90 / $1,995.26	Professional		$758.58	$1,174.90	$1,995.26
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,122.02 / $1,737.80 / $2,884.03	Professional	50	$1,122.02	$1,737.80	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,344.23 / $5,623.41	Facility		$1,659.59	$2,344.23	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,548.82 / $2,630.27	Professional		$912.01	$1,548.82	$2,630.27
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,238.72 / $4,365.16	Facility		$1,819.70	$2,238.72	$4,365.16
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,513.56 / $2,511.89	Professional		$1,000.00	$1,513.56	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $912.01 / $3,311.31	Facility		$575.44	$912.01	$3,311.31
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,344.23 / $3,467.37 / $4,073.80	Facility	50	$2,344.23	$3,467.37	$4,073.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,096.48 / $3,981.07	Professional		$616.60	$1,096.48	$3,981.07
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $831.76 / $2,187.76 / $5,888.44	Professional	50	$831.76	$2,187.76	$5,888.44
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 $575.44 / $954.99 / $1,905.46	Professional		$575.44	$954.99	$1,905.46