Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.12 / $235.88 / $2,042.00	Facility		$83.12	$235.88	$2,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.40 / $174.87 / $327.52	Professional		$72.40	$174.87	$327.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $277.73 / $277.73 / $277.73	Professional	50	$277.73	$277.73	$277.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,184.58 / $2,102.21 / $4,012.48	Facility		$1,184.58	$2,102.21	$4,012.48
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 $164.88 / $370.77 / $787.44	Professional		$164.88	$370.77	$787.44
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $240.69 / $501.65 / $1,181.16	Professional	50	$240.69	$501.65	$1,181.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $586.76 / $832.52 / $2,002.74	Facility		$586.76	$832.52	$2,002.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.96 / $425.41 / $935.20	Professional		$182.96	$425.41	$935.20
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $477.24 / $761.12 / $1,576.96	Facility		$477.24	$761.12	$1,576.96
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $181.15 / $343.62 / $782.54	Professional		$181.15	$343.62	$782.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.82 / $235.88 / $659.97	Facility		$93.82	$235.88	$659.97
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $3,902.66 / $3,902.66 / $4,047.30	Facility	50	$3,902.66	$3,902.66	$4,047.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $225.30 / $396.00 / $879.28	Professional		$225.30	$396.00	$879.28
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 $225.30 / $373.64 / $802.23	Professional		$225.30	$373.64	$802.23