Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $186.56 / $362.48	Facility		$40.29	$186.56	$362.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $68.38 / $223.25	Professional		$38.76	$68.38	$223.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.02 / $421.47 / $955.80	Facility		$166.02	$421.47	$955.80
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $291.27 / $441.94 / $774.90	Facility	50	$291.27	$441.94	$774.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $137.61 / $240.14	Professional		$76.06	$137.61	$240.14
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $111.26 / $203.94 / $349.92	Professional	50	$111.26	$203.94	$349.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.89 / $242.47 / $583.29	Facility		$170.89	$242.47	$583.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.79 / $158.33 / $291.58	Professional		$85.79	$158.33	$291.58
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $138.99 / $221.68 / $459.29	Facility		$138.99	$221.68	$459.29
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $86.57 / $148.75 / $270.25	Professional		$86.57	$148.75	$270.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.34 / $118.50 / $373.50	Facility		$53.34	$118.50	$373.50
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $115.56 / $115.56 / $545.40	Facility	50	$115.56	$115.56	$545.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $147.56 / $299.44	Professional		$72.25	$147.56	$299.44
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $344.25 / $344.25 / $357.56	Professional	50	$344.25	$344.25	$357.56
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 $71.62 / $121.87 / $246.19	Professional		$71.62	$121.87	$246.19