Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.86 / $1,182.71 / $1,771.21	Facility		$40.86	$1,182.71	$1,771.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $90.80 / $307.80	Professional		$40.86	$90.80	$307.80
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $107.04 / $211.25 / $502.50	Professional	50	$107.04	$211.25	$502.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $898.74 / $2,157.48 / $4,059.06	Facility		$898.74	$2,157.48	$4,059.06
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 $79.03 / $142.24 / $265.12	Professional		$79.03	$142.24	$265.12
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $115.64 / $213.36 / $385.76	Professional	50	$115.64	$213.36	$385.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.57 / $267.55 / $643.64	Facility		$188.57	$267.55	$643.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.17 / $162.38 / $302.56	Professional		$88.17	$162.38	$302.56
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $153.37 / $244.61 / $506.80	Facility		$153.37	$244.61	$506.80
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $87.30 / $151.61 / $280.81	Professional		$87.30	$151.61	$280.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.72 / $129.30 / $1,238.00	Facility		$62.72	$129.30	$1,238.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $117.78 / $1,146.83 / $3,461.70	Facility	50	$117.78	$1,146.83	$3,461.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.70 / $164.84 / $722.00	Professional		$88.70	$164.84	$722.00
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $130.85 / $196.28 / $515.23	Professional	50	$130.85	$196.28	$515.23
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 $84.19 / $145.56 / $294.92	Professional		$84.19	$145.56	$294.92