Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $1,047.13 / $2,818.38	Facility		$39.81	$1,047.13	$2,818.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility	50	$1,348.96	$1,348.96	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $91.20 / $389.05	Professional		$39.81	$91.20	$389.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $48.98 / $147.91 / $549.54	Professional	50	$48.98	$147.91	$549.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,454.71 / $4,897.79	Facility		$1,096.48	$2,454.71	$4,897.79
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 $74.13 / $134.90 / $251.19	Professional		$74.13	$134.90	$251.19
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $107.15 / $190.55 / $346.74	Professional	50	$107.15	$190.55	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $281.84 / $676.08	Facility		$194.98	$281.84	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $165.96 / $316.23	Professional		$91.20	$165.96	$316.23
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $269.15 / $524.81	Facility		$218.78	$269.15	$524.81
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $162.18 / $281.84	Professional		$89.13	$162.18	$281.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $158.49 / $1,513.56	Facility		$61.66	$158.49	$1,513.56
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $117.49 / $1,148.15 / $3,467.37	Facility	50	$117.49	$1,148.15	$3,467.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $169.82 / $724.44	Professional		$83.18	$169.82	$724.44
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $131.83 / $194.98 / $1,122.02	Professional	50	$131.83	$194.98	$1,122.02
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 $56.23 / $109.65 / $229.09	Professional		$56.23	$109.65	$229.09