Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.31 / $77.08 / $131.03	Facility		$54.31	$77.08	$131.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.31 / $81.65 / $168.42	Professional		$54.31	$81.65	$168.42
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $118.88 / $118.88 / $118.88	Professional	50	$118.88	$118.88	$118.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $349.03 / $720.01 / $1,484.96	Facility		$349.03	$720.01	$1,484.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.49 / $169.68 / $269.81	Professional		$99.49	$169.68	$269.81
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $149.24 / $249.00 / $392.58	Professional	50	$149.24	$249.00	$392.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.10 / $271.14 / $652.26	Facility		$191.10	$271.14	$652.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.35 / $189.89 / $332.35	Professional		$115.35	$189.89	$332.35
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $173.72 / $247.88 / $513.59	Facility		$173.72	$247.88	$513.59
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $111.10 / $178.32 / $303.05	Professional		$111.10	$178.32	$303.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.59 / $120.87 / $238.69	Facility		$74.59	$120.87	$238.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.68 / $157.60 / $450.00	Professional		$86.68	$157.60	$450.00
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 $86.14 / $149.72 / $286.49	Professional		$86.14	$149.72	$286.49