Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $1,202.26 / $4,677.35	Facility		$57.54	$1,202.26	$4,677.35
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,318.26 / $1,318.26 / $2,630.27	Facility	50	$1,318.26	$1,318.26	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $97.72 / $346.74	Professional		$57.54	$97.72	$346.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $85.11 / $194.98 / $562.34	Professional	50	$85.11	$194.98	$562.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $354.81 / $851.14	Facility		$1.00	$354.81	$851.14
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $0.02 / $0.02 / $0.02	Facility	50	$0.02	$0.02	$0.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $177.83 / $331.13	Professional		$107.15	$177.83	$331.13
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $263.03 / $457.09	Professional	50	$154.88	$263.03	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $363.08 / $870.96	Facility		$257.04	$363.08	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $223.87 / $416.87	Professional		$125.89	$223.87	$416.87
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $346.74 / $676.08	Facility		$281.84	$346.74	$676.08
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $213.80 / $389.05	Professional		$128.82	$213.80	$389.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $165.96 / $1,258.93	Facility		$72.44	$165.96	$1,258.93
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $66.07 / $562.34 / $2,290.87	Facility	50	$66.07	$562.34	$2,290.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $186.21 / $575.44	Professional		$95.50	$186.21	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,862.09 / $3,467.37	Facility		$380.19	$1,862.09	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $141.25 / $288.40	Professional		$75.86	$141.25	$288.40