Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.34 / $87.91 / $611.03	Facility		$38.34	$87.91	$611.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.34 / $69.63 / $261.00	Professional		$38.34	$69.63	$261.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.20 / $300.00 / $391.50	Professional	50	$73.20	$300.00	$391.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $384.92 / $954.52 / $4,986.03	Facility		$384.92	$954.52	$4,986.03
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $675.36 / $1,024.66 / $1,796.66	Facility	50	$675.36	$1,024.66	$1,796.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.19 / $128.97 / $204.12	Professional		$72.19	$128.97	$204.12
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $106.53 / $186.23 / $297.00	Professional	50	$106.53	$186.23	$297.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.27 / $201.86 / $485.60	Facility		$142.27	$201.86	$485.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $133.77 / $244.59	Professional		$81.56	$133.77	$244.59
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $126.60 / $184.55 / $382.36	Facility		$126.60	$184.55	$382.36
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $79.15 / $125.43 / $223.03	Professional		$79.15	$125.43	$223.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.81 / $82.45 / $648.39	Facility		$46.81	$82.45	$648.39
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $957.22 / $1,230.24 / $1,492.87	Facility	50	$957.22	$1,230.24	$1,492.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.50 / $149.00 / $274.64	Professional		$71.50	$149.00	$274.64
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $165.00 / $281.79 / $350.28	Professional	50	$165.00	$281.79	$350.28
United Facility/Professional Facility Modifier Low / Median / High Price $382.00 / $1,727.00 / $2,883.00	Facility		$382.00	$1,727.00	$2,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $59.66 / $98.95 / $205.50	Professional		$59.66	$98.95	$205.50