Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.77 / $1,137.15 / $1,442.10	Facility		$82.77	$1,137.15	$1,442.10
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,288.36 / $1,949.40 / $2,964.00	Facility	50	$1,288.36	$1,949.40	$2,964.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.66 / $168.84 / $771.00	Professional		$70.66	$168.84	$771.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $117.26 / $305.89 / $1,479.15	Professional	50	$117.26	$305.89	$1,479.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $384.92 / $924.02 / $2,335.60	Facility		$384.92	$924.02	$2,335.60
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 $159.31 / $289.76 / $560.99	Professional		$159.31	$289.76	$560.99
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $231.90 / $434.64 / $841.49	Professional	50	$231.90	$434.64	$841.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $413.34 / $586.47 / $1,410.83	Facility		$413.34	$586.47	$1,410.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.82 / $348.17 / $670.84	Professional		$177.82	$348.17	$670.84
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $336.19 / $536.16 / $1,110.89	Facility		$336.19	$536.16	$1,110.89
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $176.06 / $317.48 / $571.04	Professional		$176.06	$317.48	$571.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $111.83 / $253.31 / $1,210.97	Facility		$111.83	$253.31	$1,210.97
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $639.16 / $1,439.18 / $2,808.00	Facility	50	$639.16	$1,439.18	$2,808.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.60 / $327.67 / $671.00	Professional		$180.60	$327.67	$671.00
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 $177.17 / $306.13 / $618.17	Professional		$177.17	$306.13	$618.17