Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.64 / $82.70 / $2,042.00	Facility		$43.64	$82.70	$2,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.64 / $82.70 / $172.39	Professional		$43.64	$82.70	$172.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.65 / $504.98 / $1,052.56	Facility		$159.65	$504.98	$1,052.56
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 $86.26 / $152.63 / $287.41	Professional		$86.26	$152.63	$287.41
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $126.15 / $228.72 / $418.19	Professional	50	$126.15	$228.72	$418.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.88 / $287.86 / $692.48	Facility		$202.88	$287.86	$692.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.79 / $175.60 / $327.20	Professional		$94.79	$175.60	$327.20
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $165.01 / $263.17 / $545.26	Facility		$165.01	$263.17	$545.26
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $93.85 / $162.97 / $301.87	Professional		$93.85	$162.97	$301.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.56 / $121.63 / $231.45	Facility		$65.56	$121.63	$231.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.71 / $180.70 / $299.94	Professional		$84.71	$180.70	$299.94
United Facility/Professional Facility Modifier Low / Median / High Price $382.00 / $1,727.00 / $2,883.00	Facility		$382.00	$1,727.00	$2,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.53 / $192.88 / $279.33	Professional		$96.53	$192.88	$279.33