Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $483.93 / $677.11 / $6,575.00	Facility		$483.93	$677.11	$6,575.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.72 / $625.76 / $1,091.83	Professional		$457.72	$625.76	$1,091.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $210.69 / $210.69 / $210.69	Professional	50	$210.69	$210.69	$210.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,085.50 / $4,065.55 / $8,639.27	Facility		$2,085.50	$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 $763.67 / $1,176.81 / $2,123.26	Professional		$763.67	$1,176.81	$2,123.26
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,140.66 / $1,704.99 / $2,911.67	Professional	50	$1,140.66	$1,704.99	$2,911.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,566.65 / $2,222.84 / $5,347.35	Facility		$1,566.65	$2,222.84	$5,347.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.25 / $1,445.52 / $2,642.96	Professional		$864.25	$1,445.52	$2,642.96
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,274.23 / $2,032.21 / $4,210.51	Facility		$1,274.23	$2,032.21	$4,210.51
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $855.31 / $1,415.71 / $2,484.17	Professional		$855.31	$1,415.71	$2,484.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $577.89 / $911.53 / $4,240.80	Facility		$577.89	$911.53	$4,240.80
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,355.00 / $3,506.85 / $4,085.00	Facility	50	$2,355.00	$3,506.85	$4,085.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $665.00 / $1,152.18 / $4,005.00	Professional		$665.00	$1,152.18	$4,005.00
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $834.42 / $2,163.76 / $5,871.15	Professional	50	$834.42	$2,163.76	$5,871.15
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 $642.80 / $1,133.61 / $2,437.86	Professional		$642.80	$1,133.61	$2,437.86