Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.47 / $346.74 / $1,362.91	Facility		$58.47	$346.74	$1,362.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.86 / $97.66 / $753.30	Professional		$55.86	$97.66	$753.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $123.26 / $334.35 / $1,174.20	Professional	50	$123.26	$334.35	$1,174.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $361.58 / $596.08 / $1,052.56	Facility		$361.58	$596.08	$1,052.56
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 $113.00 / $200.28 / $350.76	Professional		$113.00	$200.28	$350.76
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $164.19 / $294.70 / $510.36	Professional	50	$164.19	$294.70	$510.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.66 / $349.97 / $841.90	Facility		$246.66	$349.97	$841.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.71 / $220.54 / $399.54	Professional		$122.71	$220.54	$399.54
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $200.62 / $319.95 / $662.91	Facility		$200.62	$319.95	$662.91
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $121.49 / $208.75 / $381.77	Professional		$121.49	$208.75	$381.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $157.86 / $703.08	Facility		$80.04	$157.86	$703.08
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $738.87 / $1,020.60 / $1,344.00	Facility	50	$738.87	$1,020.60	$1,344.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.90 / $269.87 / $721.80	Professional		$120.90	$269.87	$721.80
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $321.89 / $493.12 / $1,112.40	Professional	50	$321.89	$493.12	$1,112.40
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 $99.97 / $169.20 / $362.54	Professional		$99.97	$169.20	$362.54