Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $616.60 / $1,348.96	Facility		$89.13	$616.60	$1,348.96
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $295.12 / $426.58 / $1,445.44	Facility	50	$295.12	$426.58	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $81.28 / $257.04	Professional		$43.65	$81.28	$257.04
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $281.84 / $630.96 / $954.99	Professional	22	$281.84	$630.96	$954.99
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $64.57 / $128.82 / $436.52	Professional	50	$64.57	$128.82	$436.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $724.44 / $1,513.56	Facility		$416.87	$724.44	$1,513.56
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 $77.62 / $125.89 / $218.78	Professional		$77.62	$125.89	$218.78
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $114.82 / $181.97 / $302.00	Professional	50	$114.82	$181.97	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $239.88 / $575.44	Facility		$169.82	$239.88	$575.44
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $61.66 / $61.66 / $61.66	Facility	52	$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $162.18 / $288.40	Professional		$93.33	$162.18	$288.40
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $229.09 / $446.68	Facility		$186.21	$229.09	$446.68
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $257.04	Professional		$95.50	$151.36	$257.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $251.19 / $912.01	Facility		$60.26	$251.19	$912.01
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $309.03 / $812.83 / $1,288.25	Facility	50	$309.03	$812.83	$1,288.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $186.21 / $338.84	Professional		$85.11	$186.21	$338.84
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $169.82 / $302.00 / $489.78	Professional	50	$169.82	$302.00	$489.78
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 $52.48 / $95.50 / $190.55	Professional		$52.48	$95.50	$190.55