Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $891.25 / $1,698.24	Facility		$87.10	$891.25	$1,698.24
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility	50	$1,698.24	$1,698.24	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $69.18 / $186.21	Professional		$30.90	$69.18	$186.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $776.25 / $1,819.70	Facility		$199.53	$776.25	$1,819.70
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $954.99 / $1,698.24 / $4,265.80	Facility	50	$954.99	$1,698.24	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $117.49 / $263.03	Professional		$57.54	$117.49	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $309.03 / $741.31	Facility		$190.55	$309.03	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $114.82 / $331.13	Professional		$44.67	$114.82	$331.13
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $295.12 / $575.44	Facility		$239.88	$295.12	$575.44
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $138.04 / $309.03	Professional		$67.61	$138.04	$309.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $114.82 / $912.01	Facility		$40.74	$114.82	$912.01
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $162.18 / $1,584.89 / $1,659.59	Facility	50	$162.18	$1,584.89	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $95.50 / $1,659.59	Professional		$41.69	$95.50	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,862.09 / $3,467.37	Facility		$870.96	$1,862.09	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $85.11 / $245.47	Professional		$35.48	$85.11	$245.47