Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.43 / $1,211.14 / $1,945.00	Facility		$57.43	$1,211.14	$1,945.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,628.27 / $2,628.27 / $2,628.27	Facility	50	$2,628.27	$2,628.27	$2,628.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.43 / $93.19 / $315.93	Professional		$57.43	$93.19	$315.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $82.64 / $188.15 / $545.40	Professional	50	$82.64	$188.15	$545.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $48.66 / $492.03	Facility		$0.98	$48.66	$492.03
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 $111.90 / $200.28 / $342.55	Professional		$111.90	$200.28	$342.55
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $165.12 / $294.23 / $498.41	Professional	50	$165.12	$294.23	$498.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $242.45 / $344.00 / $827.53	Facility		$242.45	$344.00	$827.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.91 / $222.31 / $401.80	Professional		$124.91	$222.31	$401.80
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $197.19 / $314.50 / $651.60	Facility		$197.19	$314.50	$651.60
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $123.68 / $209.52 / $377.83	Professional		$123.68	$209.52	$377.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.79 / $153.71 / $689.13	Facility		$79.79	$153.71	$689.13
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $66.00 / $561.75 / $2,315.28	Facility	50	$66.00	$561.75	$2,315.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.07 / $192.49 / $575.00	Professional		$103.07	$192.49	$575.00
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 $102.89 / $175.53 / $367.94	Professional		$102.89	$175.53	$367.94