Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.11 / $853.14 / $4,557.00	Facility		$158.11	$853.14	$4,557.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $946.44 / $2,375.10 / $6,227.22	Facility	50	$946.44	$2,375.10	$6,227.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.41 / $179.68 / $4,881.60	Professional		$139.41	$179.68	$4,881.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $235.26 / $643.42 / $1,881.00	Professional	50	$235.26	$643.42	$1,881.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $772.73 / $2,889.88 / $5,419.69	Facility		$772.73	$2,889.88	$5,419.69
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,972.98 / $5,259.33 / $9,251.00	Facility	50	$2,972.98	$5,259.33	$9,251.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.39 / $420.04 / $589.37	Professional		$271.39	$420.04	$589.37
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $393.62 / $607.53 / $851.67	Professional	50	$393.62	$607.53	$851.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.86 / $561.38 / $1,350.49	Facility		$395.86	$561.38	$1,350.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.19 / $541.25 / $768.17	Professional		$320.19	$541.25	$768.17
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $321.81 / $513.24 / $1,063.38	Facility		$321.81	$513.24	$1,063.38
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $281.89 / $482.40 / $639.29	Professional		$281.89	$482.40	$639.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $228.41 / $387.24 / $4,702.70	Facility		$228.41	$387.24	$4,702.70
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $900.21 / $2,435.10 / $4,054.82	Facility	50	$900.21	$2,435.10	$4,054.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $211.05 / $406.98 / $911.60	Professional		$211.05	$406.98	$911.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,296.00 / $3,500.00 / $6,361.00	Facility		$2,296.00	$3,500.00	$6,361.00
United Facility/Professional Professional Modifier Low / Median / High Price $214.28 / $406.98 / $627.52	Professional		$214.28	$406.98	$627.52