Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.99 / $113.46 / $972.50	Facility		$49.99	$113.46	$972.50
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $10.00 / $22.69 / $22.69	Facility	53	$10.00	$22.69	$22.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.59 / $100.13 / $274.50	Professional		$48.59	$100.13	$274.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $69.93 / $143.31 / $204.41	Professional	50	$69.93	$143.31	$204.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $42.03 / $426.24	Facility		$0.98	$42.03	$426.24
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $0.02 / $1.50 / $1.50	Facility	50	$0.02	$1.50	$1.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.76 / $186.14 / $380.07	Professional		$96.76	$186.14	$380.07
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $143.81 / $269.22 / $570.11	Professional	50	$143.81	$269.22	$570.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $280.33 / $397.75 / $956.83	Facility		$280.33	$397.75	$956.83
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $17.26 / $17.26 / $17.26	Facility	53	$17.26	$17.26	$17.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.28 / $211.26 / $457.17	Professional		$107.28	$211.26	$457.17
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $228.01 / $363.64 / $753.41	Facility		$228.01	$363.64	$753.41
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $106.22 / $198.17 / $382.25	Professional		$106.22	$198.17	$382.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.77 / $149.94 / $563.00	Facility		$63.77	$149.94	$563.00
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $48.61 / $48.61 / $48.61	Facility	53	$48.61	$48.61	$48.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.03 / $209.95 / $526.00	Professional		$110.03	$209.95	$526.00
United Facility/Professional Facility Modifier Low / Median / High Price $382.00 / $1,727.00 / $2,883.00	Facility		$382.00	$1,727.00	$2,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.30 / $226.95 / $412.36	Professional		$114.30	$226.95	$412.36