Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $99.39 / $2,168.00	Facility		$53.00	$99.39	$2,168.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,983.00 / $1,983.00 / $1,983.00	Facility	50	$1,983.00	$1,983.00	$1,983.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $99.39 / $199.91	Professional		$53.00	$99.39	$199.91
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $124.47 / $124.47 / $124.47	Professional	50	$124.47	$124.47	$124.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.37 / $1,554.06 / $3,239.20	Facility		$157.37	$1,554.06	$3,239.20
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,078.36 / $3,153.33 / $5,529.09	Facility	50	$2,078.36	$3,153.33	$5,529.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.05 / $185.48 / $346.06	Professional		$104.05	$185.48	$346.06
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $153.06 / $278.22 / $503.52	Professional	50	$153.06	$278.22	$503.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.81 / $348.78 / $839.03	Facility		$245.81	$348.78	$839.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.36 / $212.35 / $396.80	Professional		$115.36	$212.35	$396.80
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $199.93 / $318.86 / $660.65	Facility		$199.93	$318.86	$660.65
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $114.22 / $198.35 / $367.40	Professional		$114.22	$198.35	$367.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.73 / $140.93 / $369.63	Facility		$73.73	$140.93	$369.63
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,442.15 / $2,783.75 / $5,849.10	Facility	50	$1,442.15	$2,783.75	$5,849.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.51 / $219.09 / $382.33	Professional		$110.51	$219.09	$382.33
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 $102.03 / $214.36 / $358.02	Professional		$102.03	$214.36	$358.02