Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $134.90 / $134.90	Facility		$75.86	$134.90	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $125.89 / $223.87	Professional		$75.86	$125.89	$223.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $524.81 / $524.81 / $1,288.25	Professional	50	$524.81	$524.81	$1,288.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,659.59 / $3,388.44	Facility		$977.24	$1,659.59	$3,388.44
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 $138.04 / $239.88 / $457.09	Professional		$138.04	$239.88	$457.09
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $199.53 / $354.81 / $616.60	Professional	50	$199.53	$354.81	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $501.19 / $1,202.26	Facility		$338.84	$501.19	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $295.12 / $562.34	Professional		$165.96	$295.12	$562.34
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $478.63 / $933.25	Facility		$380.19	$478.63	$933.25
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $295.12 / $512.86	Professional		$165.96	$295.12	$512.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $190.55 / $1,737.80	Facility		$93.33	$190.55	$1,737.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $275.42 / $630.96	Professional		$134.90	$275.42	$630.96
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 $100.00 / $194.98 / $407.38	Professional		$100.00	$194.98	$407.38