Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.01 / $162.91 / $2,042.00	Facility		$105.01	$162.91	$2,042.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.01 / $162.91 / $266.51	Professional		$105.01	$162.91	$266.51
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,928.03 / $1,928.03 / $1,928.03	Professional	50	$1,928.03	$1,928.03	$1,928.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $214.84 / $1,179.08 / $2,457.60	Facility		$214.84	$1,179.08	$2,457.60
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,576.86 / $2,392.44 / $4,194.93	Facility	50	$1,576.86	$2,392.44	$4,194.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.82 / $361.08 / $571.29	Professional		$206.82	$361.08	$571.29
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $299.72 / $515.03 / $831.24	Professional	50	$299.72	$515.03	$831.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $399.87 / $567.36 / $1,364.85	Facility		$399.87	$567.36	$1,364.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.94 / $381.72 / $677.65	Professional		$222.94	$381.72	$677.65
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $352.41 / $518.70 / $1,074.69	Facility		$352.41	$518.70	$1,074.69
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $219.30 / $349.17 / $617.91	Professional		$219.30	$349.17	$617.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.19 / $239.95 / $488.71	Facility		$141.19	$239.95	$488.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $183.80 / $335.11 / $803.52	Professional		$183.80	$335.11	$803.52
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 $183.80 / $322.16 / $626.30	Professional		$183.80	$322.16	$626.30