Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.66 / $1,354.65 / $2,332.08	Facility		$102.66	$1,354.65	$2,332.08
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,327.27 / $2,356.32 / $4,451.13	Facility	50	$1,327.27	$2,356.32	$4,451.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.66 / $179.05 / $454.15	Professional		$102.66	$179.05	$454.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $98.04 / $680.00 / $2,208.75	Professional	50	$98.04	$680.00	$2,208.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $485.71 / $1,585.78 / $3,239.20	Facility		$485.71	$1,585.78	$3,239.20
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,078.36 / $3,153.33 / $5,529.09	Facility	50	$2,078.36	$3,153.33	$5,529.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.43 / $357.67 / $679.22	Professional		$200.43	$357.67	$679.22
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $293.12 / $535.95 / $988.26	Professional	50	$293.12	$535.95	$988.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $484.05 / $686.80 / $1,652.19	Facility		$484.05	$686.80	$1,652.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.58 / $421.03 / $811.03	Professional		$225.58	$421.03	$811.03
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $393.70 / $627.90 / $1,300.94	Facility		$393.70	$627.90	$1,300.94
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $223.34 / $387.86 / $718.41	Professional		$223.34	$387.86	$718.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $150.38 / $292.69 / $2,034.00	Facility		$150.38	$292.69	$2,034.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,347.00 / $2,633.75 / $5,230.35	Facility	50	$1,347.00	$2,633.75	$5,230.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $209.30 / $383.89 / $1,012.00	Professional		$209.30	$383.89	$1,012.00
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 $209.18 / $361.30 / $733.21	Professional		$209.18	$361.30	$733.21