Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.86 / $982.40 / $4,338.00	Facility		$279.86	$982.40	$4,338.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,301.08 / $2,301.08 / $2,301.08	Facility	50	$2,301.08	$2,301.08	$2,301.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.86 / $381.38 / $1,372.75	Professional		$279.86	$381.38	$1,372.75
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,257.21 / $2,257.21 / $2,257.21	Professional	50	$2,257.21	$2,257.21	$2,257.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,325.68 / $2,653.26 / $5,638.17	Facility		$1,325.68	$2,653.26	$5,638.17
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,477.42 / $5,276.00 / $9,251.00	Facility	50	$3,477.42	$5,276.00	$9,251.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $522.79 / $871.07 / $1,358.45	Professional		$522.79	$871.07	$1,358.45
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $756.89 / $1,257.86 / $1,976.55	Professional	50	$756.89	$1,257.86	$1,976.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $950.07 / $1,347.32 / $3,241.17	Facility		$950.07	$1,347.32	$3,241.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.91 / $1,108.19 / $1,641.31	Professional		$653.91	$1,108.19	$1,641.31
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $772.34 / $1,231.78 / $2,552.10	Facility		$772.34	$1,231.78	$2,552.10
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $564.92 / $926.15 / $1,514.58	Professional		$564.92	$926.15	$1,514.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $414.11 / $644.53 / $3,703.69	Facility		$414.11	$644.53	$3,703.69
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,382.33 / $3,108.75 / $4,718.10	Facility	50	$1,382.33	$3,108.75	$4,718.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $532.01 / $1,045.63 / $2,144.80	Professional		$532.01	$1,045.63	$2,144.80
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 $504.97 / $932.55 / $1,511.34	Professional		$504.97	$932.55	$1,511.34