Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $1,258.93 / $9,772.37	Facility		$61.66	$1,258.93	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $107.15 / $295.12	Professional		$57.54	$107.15	$295.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $199.53 / $338.84 / $1,071.52	Professional	50	$199.53	$338.84	$1,071.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $4,168.69	Facility		$1,096.48	$1,862.09	$4,168.69
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,621.81 / $2,951.21 / $7,413.10	Facility	50	$1,621.81	$2,951.21	$7,413.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $208.93 / $398.11	Professional		$114.82	$208.93	$398.11
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $165.96 / $295.12 / $549.54	Professional	50	$165.96	$295.12	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $436.52 / $1,047.13	Facility		$309.03	$436.52	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $263.03 / $489.78	Professional		$134.90	$263.03	$489.78
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $416.87 / $812.83	Facility		$331.13	$416.87	$812.83
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $245.47 / $436.52	Professional		$134.90	$245.47	$436.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $257.04 / $2,754.23	Facility		$91.20	$257.04	$2,754.23
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility	50	$1,174.90	$1,174.90	$1,174.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $208.93 / $912.01	Professional		$91.20	$208.93	$912.01
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $269.15 / $269.15 / $269.15	Professional	50	$269.15	$269.15	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,238.72 / $5,495.41	Facility		$1,174.90	$2,238.72	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $144.54 / $309.03	Professional		$72.44	$144.54	$309.03