Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.98 / $87.12 / $2,042.00	Facility		$53.98	$87.12	$2,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.98 / $87.12 / $158.66	Professional		$53.98	$87.12	$158.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.21 / $1,179.08 / $2,457.60	Facility		$112.21	$1,179.08	$2,457.60
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,576.86 / $2,392.44 / $4,194.93	Facility	50	$1,576.86	$2,392.44	$4,194.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.24 / $183.88 / $303.83	Professional		$104.24	$183.88	$303.83
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $153.97 / $274.55 / $442.08	Professional	50	$153.97	$274.55	$442.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.82 / $303.39 / $729.84	Facility		$213.82	$303.39	$729.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.91 / $199.48 / $362.56	Professional		$113.91	$199.48	$362.56
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $180.20 / $277.37 / $574.67	Facility		$180.20	$277.37	$574.67
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $114.95 / $183.33 / $330.60	Professional		$114.95	$183.33	$330.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.36 / $134.63 / $261.33	Facility		$69.36	$134.63	$261.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.06 / $219.12 / $350.59	Professional		$104.06	$219.12	$350.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,187.00 / $2,872.00 / $4,241.00	Facility		$1,187.00	$2,872.00	$4,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.07 / $218.39 / $341.91	Professional		$96.07	$218.39	$341.91