Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $28.65 / $28.65	Facility		$17.27	$28.65	$28.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $28.45 / $44.98	Professional		$17.27	$28.45	$44.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $48.35 / $48.35 / $94.35	Professional	50	$48.35	$48.35	$94.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.91 / $464.25 / $1,057.80	Facility		$203.91	$464.25	$1,057.80
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $359.31 / $545.15 / $955.87	Facility	50	$359.31	$545.15	$955.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.45 / $56.84 / $96.20	Professional		$31.45	$56.84	$96.20
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $47.04 / $84.06 / $143.37	Professional	50	$47.04	$84.06	$143.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.87 / $99.14 / $238.49	Facility		$69.87	$99.14	$238.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.07 / $65.75 / $118.18	Professional		$36.07	$65.75	$118.18
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $63.52 / $90.64 / $187.79	Facility		$63.52	$90.64	$187.79
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $36.38 / $61.11 / $110.20	Professional		$36.38	$61.11	$110.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.65 / $44.80 / $81.48	Facility		$25.65	$44.80	$81.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.24 / $57.32 / $129.84	Professional		$31.24	$57.32	$129.84
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $24.31 / $89.60 / $91.83	Professional	50	$24.31	$89.60	$91.83
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 $31.24 / $53.36 / $112.83	Professional		$31.24	$53.36	$112.83