Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.91 / $472.65 / $2,168.00	Facility		$267.91	$472.65	$2,168.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.93 / $437.98 / $758.68	Professional		$249.93	$437.98	$758.68
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $300.00 / $515.21 / $721.29	Professional	50	$300.00	$515.21	$721.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $378.60 / $1,010.60 / $1,956.18	Facility		$378.60	$1,010.60	$1,956.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $447.32 / $768.21 / $1,399.07	Professional		$447.32	$768.21	$1,399.07
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $642.72 / $1,092.47 / $1,939.83	Professional	50	$642.72	$1,092.47	$1,939.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,091.84 / $1,549.18 / $3,726.77	Facility		$1,091.84	$1,549.18	$3,726.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $479.14 / $937.57 / $1,758.44	Professional		$479.14	$937.57	$1,758.44
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $860.17 / $1,416.32 / $2,934.46	Facility		$860.17	$1,416.32	$2,934.46
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $486.72 / $859.00 / $1,725.53	Professional		$486.72	$859.00	$1,725.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $305.27 / $598.27 / $1,438.00	Facility		$305.27	$598.27	$1,438.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $473.92 / $818.60 / $2,648.00	Professional		$473.92	$818.60	$2,648.00
United Facility/Professional Facility Modifier Low / Median / High Price $563.00 / $1,749.00 / $2,883.00	Facility		$563.00	$1,749.00	$2,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $487.50 / $752.88 / $1,598.10	Professional		$487.50	$752.88	$1,598.10