Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.32 / $201.93 / $2,168.00	Facility		$117.32	$201.93	$2,168.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.35 / $161.99 / $272.86	Professional		$102.35	$161.99	$272.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $317.45 / $577.53 / $987.84	Facility		$317.45	$577.53	$987.84
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $552.20 / $842.40 / $1,481.75	Facility	50	$552.20	$842.40	$1,481.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.67 / $374.16 / $658.11	Professional		$204.67	$374.16	$658.11
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $303.92 / $548.04 / $957.56	Professional	50	$303.92	$548.04	$957.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $471.67 / $668.88 / $1,609.09	Facility		$471.67	$668.88	$1,609.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.63 / $474.78 / $797.06	Professional		$275.63	$474.78	$797.06
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $383.43 / $611.52 / $1,267.00	Facility		$383.43	$611.52	$1,267.00
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $240.08 / $403.04 / $749.17	Professional		$240.08	$403.04	$749.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $143.69 / $242.72 / $768.28	Facility		$143.69	$242.72	$768.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $244.63 / $511.12 / $982.57	Professional		$244.63	$511.12	$982.57
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 $240.71 / $435.47 / $741.62	Professional		$240.71	$435.47	$741.62