Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.48 / $112.42 / $2,042.00	Facility		$53.48	$112.42	$2,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.48 / $112.42 / $187.82	Professional		$53.48	$112.42	$187.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $894.92 / $1,542.36 / $2,553.87	Facility		$894.92	$1,542.36	$2,553.87
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 $103.89 / $190.04 / $385.56	Professional		$103.89	$190.04	$385.56
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $151.19 / $285.06 / $566.69	Professional	50	$151.19	$285.06	$566.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.64 / $395.36 / $951.09	Facility		$278.64	$395.36	$951.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.36 / $225.88 / $461.43	Professional		$115.36	$225.88	$461.43
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $226.64 / $361.45 / $748.89	Facility		$226.64	$361.45	$748.89
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $114.22 / $209.94 / $379.92	Professional		$114.22	$209.94	$379.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.67 / $147.58 / $306.24	Facility		$78.67	$147.58	$306.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.64 / $236.25 / $456.06	Professional		$126.64	$236.25	$456.06
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $242.19 / $243.00 / $293.05	Professional	50	$242.19	$243.00	$293.05
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 $118.58 / $230.47 / $431.55	Professional		$118.58	$230.47	$431.55