Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.91 / $169.97 / $455.05	Facility		$56.91	$169.97	$455.05
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $461.35 / $461.35 / $461.35	Facility	50	$461.35	$461.35	$461.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.30 / $158.06 / $437.00	Professional		$55.30	$158.06	$437.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $66.75 / $540.23 / $651.48	Professional	50	$66.75	$540.23	$651.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.02 / $331.88 / $516.60	Facility		$166.02	$331.88	$516.60
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 $101.91 / $243.03 / $534.82	Professional		$101.91	$243.03	$534.82
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $152.87 / $332.93 / $802.23	Professional	50	$152.87	$332.93	$802.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $392.50 / $556.61 / $1,338.99	Facility		$392.50	$556.61	$1,338.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.54 / $262.45 / $664.70	Professional		$123.54	$262.45	$664.70
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $319.07 / $508.87 / $1,054.33	Facility		$319.07	$508.87	$1,054.33
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $114.22 / $261.68 / $577.50	Professional		$114.22	$261.68	$577.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $88.16 / $222.76 / $566.00	Facility		$88.16	$222.76	$566.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $203.07 / $534.77 / $1,311.78	Facility	50	$203.07	$534.77	$1,311.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.84 / $400.68 / $770.26	Professional		$141.84	$400.68	$770.26
United Facility/Professional Facility Modifier Low / Median / High Price $563.00 / $1,749.00 / $2,883.00	Facility		$563.00	$1,749.00	$2,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.91 / $347.16 / $581.38	Professional		$140.91	$347.16	$581.38