Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.39 / $135.72 / $2,042.00	Facility		$75.39	$135.72	$2,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.39 / $130.19 / $209.68	Professional		$75.39	$130.19	$209.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $894.92 / $1,542.36 / $2,553.21	Facility		$894.92	$1,542.36	$2,553.21
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 $147.44 / $262.86 / $471.59	Professional		$147.44	$262.86	$471.59
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $214.44 / $392.03 / $686.16	Professional	50	$214.44	$392.03	$686.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.36 / $473.00 / $1,137.85	Facility		$333.36	$473.00	$1,137.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.38 / $296.52 / $544.98	Professional		$162.38	$296.52	$544.98
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $271.14 / $432.43 / $895.95	Facility		$271.14	$432.43	$895.95
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $160.78 / $276.52 / $512.96	Professional		$160.78	$276.52	$512.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.56 / $194.64 / $407.20	Facility		$103.56	$194.64	$407.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $148.87 / $281.51 / $584.88	Professional		$148.87	$281.51	$584.88
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 $139.40 / $264.93 / $507.30	Professional		$139.40	$264.93	$507.30