Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.38 / $293.02 / $2,168.00	Facility		$49.38	$293.02	$2,168.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.13 / $264.30 / $404.53	Professional		$47.13	$264.30	$404.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $372.08 / $372.08 / $372.08	Professional	50	$372.08	$372.08	$372.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $67.39 / $196.91	Facility		$0.98	$67.39	$196.91
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $0.02 / $1.50 / $1.50	Facility	50	$0.02	$1.50	$1.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.67 / $307.33 / $851.16	Professional		$97.67	$307.33	$851.16
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $141.30 / $439.47 / $1,276.74	Professional	50	$141.30	$439.47	$1,276.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $576.27 / $899.41 / $2,163.65	Facility		$576.27	$899.41	$2,163.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.27 / $255.75 / $964.53	Professional		$70.27	$255.75	$964.53
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $499.39 / $792.98 / $1,703.66	Facility		$499.39	$792.98	$1,703.66
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $94.58 / $304.20 / $846.08	Professional		$94.58	$304.20	$846.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.33 / $270.08 / $704.90	Facility		$62.33	$270.08	$704.90
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $8,790.29 / $8,790.29 / $8,790.29	Facility	50	$8,790.29	$8,790.29	$8,790.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $326.02 / $651.88 / $2,278.06	Professional		$326.02	$651.88	$2,278.06
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $117.70 / $137.54 / $729.00	Professional	50	$117.70	$137.54	$729.00
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 $304.60 / $579.36 / $1,087.68	Professional		$304.60	$579.36	$1,087.68