Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.56 / $622.76 / $2,168.00	Facility		$49.56	$622.76	$2,168.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.89 / $141.81 / $454.50	Professional		$46.89	$141.81	$454.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $167.95 / $298.35 / $565.44	Professional	50	$167.95	$298.35	$565.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $220.73 / $432.65	Facility		$0.98	$220.73	$432.65
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $0.02 / $1.50 / $1.50	Facility	50	$0.02	$1.50	$1.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.25 / $232.16 / $551.88	Professional		$102.25	$232.16	$551.88
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $149.75 / $315.64 / $827.82	Professional	50	$149.75	$315.64	$827.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.79 / $581.69 / $1,399.33	Facility		$346.79	$581.69	$1,399.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.66 / $198.61 / $585.54	Professional		$74.66	$198.61	$585.54
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $322.98 / $512.86 / $1,101.83	Facility		$322.98	$512.86	$1,101.83
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $103.31 / $238.19 / $545.48	Professional		$103.31	$238.19	$545.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.20 / $160.16 / $421.69	Facility		$57.20	$160.16	$421.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.90 / $335.23 / $1,786.65	Professional		$154.90	$335.23	$1,786.65
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $392.62 / $392.62 / $729.24	Professional	50	$392.62	$392.62	$729.24
United Facility/Professional Facility Modifier Low / Median / High Price $563.00 / $1,749.00 / $2,883.00	Facility		$563.00	$1,749.00	$2,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $146.52 / $249.61 / $573.01	Professional		$146.52	$249.61	$573.01