Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.09 / $226.57 / $2,084.00	Facility		$80.09	$226.57	$2,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.04 / $172.92 / $316.02	Professional		$77.04	$172.92	$316.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $630.38 / $630.38 / $630.38	Professional	50	$630.38	$630.38	$630.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $306.82 / $1,179.08 / $2,457.60	Facility		$306.82	$1,179.08	$2,457.60
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 $157.78 / $350.72 / $757.84	Professional		$157.78	$350.72	$757.84
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $232.17 / $490.50 / $1,136.76	Professional	50	$232.17	$490.50	$1,136.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $563.17 / $799.08 / $1,922.29	Facility		$563.17	$799.08	$1,922.29
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $112.30 / $112.30 / $112.30	Facility	52	$112.30	$112.30	$112.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.61 / $411.98 / $914.33	Professional		$175.61	$411.98	$914.33
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $458.06 / $730.55 / $1,513.61	Facility		$458.06	$730.55	$1,513.61
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $173.87 / $343.80 / $764.50	Professional		$173.87	$343.80	$764.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $111.87 / $246.88 / $1,136.00	Facility		$111.87	$246.88	$1,136.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,194.33 / $2,817.96 / $4,145.18	Facility	50	$1,194.33	$2,817.96	$4,145.18
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $299.14 / $299.14 / $299.14	Facility	52	$299.14	$299.14	$299.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $229.26 / $429.38 / $871.20	Professional		$229.26	$429.38	$871.20
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $587.91 / $587.91 / $587.91	Professional	50	$587.91	$587.91	$587.91
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 $228.34 / $410.57 / $796.94	Professional		$228.34	$410.57	$796.94