Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.22 / $448.39 / $1,189.90	Facility		$65.22	$448.39	$1,189.90
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $66.83 / $636.49 / $695.95	Facility	50	$66.83	$636.49	$695.95
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $22.12 / $32.61 / $32.61	Facility	52	$22.12	$32.61	$32.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.65 / $68.62 / $232.20	Professional		$41.65	$68.62	$232.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $54.32 / $98.96 / $384.00	Professional	50	$54.32	$98.96	$384.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $383.28 / $683.10 / $1,151.36	Facility		$383.28	$683.10	$1,151.36
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 $84.10 / $145.80 / $229.93	Professional		$84.10	$145.80	$229.93
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $124.64 / $208.56 / $334.55	Professional	50	$124.64	$208.56	$334.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.94 / $226.94 / $545.94	Facility		$159.94	$226.94	$545.94
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $61.63 / $61.63 / $61.63	Facility	52	$61.63	$61.63	$61.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.05 / $160.56 / $274.75	Professional		$94.05	$160.56	$274.75
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $145.41 / $207.48 / $429.88	Facility		$145.41	$207.48	$429.88
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $88.88 / $146.66 / $249.26	Professional		$88.88	$146.66	$249.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.03 / $130.11 / $742.36	Facility		$60.03	$130.11	$742.36
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $306.20 / $762.84 / $1,280.33	Facility	50	$306.20	$762.84	$1,280.33
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $164.70 / $164.70 / $164.70	Facility	52	$164.70	$164.70	$164.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.87 / $177.81 / $332.40	Professional		$84.87	$177.81	$332.40
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $169.74 / $299.30 / $465.30	Professional	50	$169.74	$299.30	$465.30
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 $67.20 / $122.33 / $239.44	Professional		$67.20	$122.33	$239.44