Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $199.53 / $199.53	Facility		$117.49	$199.53	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $173.78 / $269.15	Professional		$107.15	$173.78	$269.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.44 / $72.44 / $72.44	Professional	50	$72.44	$72.44	$72.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $645.65 / $1,659.59	Facility		$363.08	$645.65	$1,659.59
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $549.54 / $977.24 / $2,511.89	Facility	50	$549.54	$977.24	$2,511.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $331.13 / $602.56	Professional		$190.55	$331.13	$602.56
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $288.40 / $489.78 / $870.96	Professional	50	$288.40	$489.78	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $707.95 / $1,698.24	Facility		$489.78	$707.95	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $467.74 / $794.33	Professional		$251.19	$467.74	$794.33
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $676.08 / $1,318.26	Facility		$537.03	$676.08	$1,318.26
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $416.87 / $758.58	Professional		$245.47	$416.87	$758.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $257.04 / $1,737.80	Facility		$141.25	$257.04	$1,737.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $398.11 / $1,023.29	Professional		$208.93	$398.11	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,862.09 / $3,715.35	Facility		$616.60	$1,862.09	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $316.23 / $616.60	Professional		$147.91	$316.23	$616.60