Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.32 / $112.19 / $1,026.00	Facility		$47.32	$112.19	$1,026.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.32 / $100.93 / $192.55	Professional		$47.32	$100.93	$192.55
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $830.88 / $830.88 / $830.88	Professional	50	$830.88	$830.88	$830.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $384.92 / $954.52 / $3,467.14	Facility		$384.92	$954.52	$3,467.14
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $675.36 / $1,024.66 / $1,796.66	Facility	50	$675.36	$1,024.66	$1,796.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.06 / $188.74 / $389.16	Professional		$100.06	$188.74	$389.16
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $147.77 / $272.75 / $583.74	Professional	50	$147.77	$272.75	$583.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $254.84 / $397.75 / $956.83	Facility		$254.84	$397.75	$956.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.81 / $216.72 / $450.34	Professional		$105.81	$216.72	$450.34
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $228.01 / $363.64 / $753.41	Facility		$228.01	$363.64	$753.41
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $104.76 / $195.45 / $382.25	Professional		$104.76	$195.45	$382.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.65 / $154.05 / $600.30	Facility		$69.65	$154.05	$600.30
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $71.19 / $650.92 / $682.66	Facility	50	$71.19	$650.92	$682.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $121.08 / $233.64 / $804.00	Professional		$121.08	$233.64	$804.00
United Facility/Professional Facility Modifier Low / Median / High Price $563.00 / $1,580.95 / $3,584.00	Facility		$563.00	$1,580.95	$3,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.37 / $219.92 / $412.58	Professional		$113.37	$219.92	$412.58