Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.44 / $411.72 / $2,525.00	Facility		$236.44	$411.72	$2,525.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,909.25 / $5,909.25 / $5,909.25	Facility	50	$5,909.25	$5,909.25	$5,909.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.19 / $385.99 / $657.02	Professional		$222.19	$385.99	$657.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $114.04 / $114.04 / $114.04	Professional	50	$114.04	$114.04	$114.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,028.53 / $3,744.92 / $8,304.51	Facility		$1,028.53	$3,744.92	$8,304.51
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 $387.35 / $662.08 / $1,230.00	Professional		$387.35	$662.08	$1,230.00
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $563.54 / $958.83 / $1,688.10	Professional	50	$563.54	$958.83	$1,688.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $948.74 / $1,346.13 / $3,238.29	Facility		$948.74	$1,346.13	$3,238.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.43 / $810.46 / $1,550.46	Professional		$436.43	$810.46	$1,550.46
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $748.17 / $1,230.68 / $2,549.84	Facility		$748.17	$1,230.68	$2,549.84
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $429.16 / $754.92 / $1,491.59	Professional		$429.16	$754.92	$1,491.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $258.74 / $509.71 / $3,312.00	Facility		$258.74	$509.71	$3,312.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,411.21 / $2,411.21 / $2,411.21	Facility	50	$2,411.21	$2,411.21	$2,411.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $414.20 / $749.03 / $1,655.92	Professional		$414.20	$749.03	$1,655.92
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $1,047.64 / $1,047.64 / $1,768.89	Professional	50	$1,047.64	$1,047.64	$1,768.89
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 $438.27 / $703.69 / $1,454.27	Professional		$438.27	$703.69	$1,454.27