Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $218.78 / $3,090.30	Facility		$33.88	$218.78	$3,090.30
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $645.65 / $645.65 / $2,951.21	Facility	50	$645.65	$645.65	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $66.07 / $199.53	Professional		$34.67	$66.07	$199.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $51.29 / $144.54 / $426.58	Professional	50	$51.29	$144.54	$426.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $724.44 / $1,548.82	Facility		$416.87	$724.44	$1,548.82
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $691.83 / $1,258.93 / $3,162.28	Facility	50	$691.83	$1,258.93	$3,162.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $102.33 / $186.21	Professional		$61.66	$102.33	$186.21
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $91.20 / $151.36 / $263.03	Professional	50	$91.20	$151.36	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $199.53 / $478.63	Facility		$138.04	$199.53	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $125.89 / $229.09	Professional		$74.13	$125.89	$229.09
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $190.55 / $371.54	Facility		$154.88	$190.55	$371.54
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $117.49 / $213.80	Professional		$75.86	$117.49	$213.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $91.20 / $758.58	Facility		$41.69	$91.20	$758.58
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $0.72 / $1,023.29 / $3,090.30	Facility	50	$0.72	$1,023.29	$3,090.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $131.83 / $263.03	Professional		$57.54	$131.83	$263.03
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $144.54 / $213.80 / $398.11	Professional	50	$144.54	$213.80	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,819.70 / $3,467.37	Facility		$602.56	$1,819.70	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $75.86 / $154.88	Professional		$41.69	$75.86	$154.88