Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.46 / $136.97 / $329.76	Facility		$27.46	$136.97	$329.76
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $126.50 / $139.66 / $201.60	Facility	50	$126.50	$139.66	$201.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.28 / $61.67 / $142.81	Professional		$27.28	$61.67	$142.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $43.08 / $137.72 / $137.72	Professional	50	$43.08	$137.72	$137.72
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 $48.71 / $124.76 / $300.41	Professional		$48.71	$124.76	$300.41
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $72.39 / $167.33 / $450.62	Professional	50	$72.39	$167.33	$450.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.61 / $320.11 / $770.06	Facility		$225.61	$320.11	$770.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.29 / $136.44 / $363.84	Professional		$59.29	$136.44	$363.84
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $183.50 / $292.66 / $606.35	Facility		$183.50	$292.66	$606.35
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $56.75 / $130.54 / $308.83	Professional		$56.75	$130.54	$308.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.02 / $124.44 / $366.00	Facility		$36.02	$124.44	$366.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $201.00 / $449.37 / $1,040.34	Facility	50	$201.00	$449.37	$1,040.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.40 / $173.28 / $369.89	Professional		$83.40	$173.28	$369.89
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $427.75 / $449.37 / $451.92	Professional	50	$427.75	$449.37	$451.92
United Facility/Professional Facility Modifier Low / Median / High Price $380.46 / $1,438.00 / $2,883.00	Facility		$380.46	$1,438.00	$2,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $83.40 / $124.46 / $343.61	Professional		$83.40	$124.46	$343.61