Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $1,348.96 / $3,388.44	Facility		$102.33	$1,348.96	$3,388.44
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,318.26 / $3,801.89 / $4,570.88	Facility	50	$1,318.26	$3,801.89	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $190.55 / $562.34	Professional		$102.33	$190.55	$562.34
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $524.81 / $1,380.38	Professional	50	$154.88	$524.81	$1,380.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,778.28 / $4,073.80	Facility		$630.96	$1,778.28	$4,073.80
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,089.30 / $3,715.35 / $9,549.93	Facility	50	$2,089.30	$3,715.35	$9,549.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $346.74 / $660.69	Professional		$190.55	$346.74	$660.69
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $275.42 / $489.78 / $912.01	Professional	50	$275.42	$489.78	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $724.44 / $1,737.80	Facility		$467.74	$724.44	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $436.52 / $812.83	Professional		$223.87	$436.52	$812.83
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $691.83 / $1,348.96	Facility		$562.34	$691.83	$1,348.96
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $416.87 / $724.44	Professional		$229.09	$416.87	$724.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $309.03 / $2,884.03	Facility		$128.82	$309.03	$2,884.03
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,318.26 / $2,630.27 / $5,248.07	Facility	50	$1,318.26	$2,630.27	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $380.19 / $1,023.29	Professional		$190.55	$380.19	$1,023.29
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 $131.83 / $269.15 / $575.44	Professional		$131.83	$269.15	$575.44