Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.26 / $98.42 / $2,042.00	Facility		$57.26	$98.42	$2,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.26 / $98.42 / $181.42	Professional		$57.26	$98.42	$181.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.37 / $1,179.08 / $2,457.60	Facility		$131.37	$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 $111.63 / $196.86 / $344.89	Professional		$111.63	$196.86	$344.89
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $163.26 / $289.98 / $501.81	Professional	50	$163.26	$289.98	$501.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.97 / $347.58 / $836.15	Facility		$244.97	$347.58	$836.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.18 / $224.07 / $399.43	Professional		$124.18	$224.07	$399.43
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $199.25 / $317.19 / $658.39	Facility		$199.25	$317.19	$658.39
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $122.95 / $211.25 / $381.77	Professional		$122.95	$211.25	$381.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.06 / $150.34 / $376.12	Facility		$71.06	$150.34	$376.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.12 / $211.89 / $1,297.00	Professional		$116.12	$211.89	$1,297.00
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 $113.15 / $208.92 / $385.56	Professional		$113.15	$208.92	$385.56