Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $776.25 / $2,238.72	Facility		$114.82	$776.25	$2,238.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $223.87 / $724.44	Professional		$112.20	$223.87	$724.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $338.84 / $1,202.26 / $2,089.30	Professional	50	$338.84	$1,202.26	$2,089.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,290.87 / $6,606.93	Facility		$1,412.54	$2,290.87	$6,606.93
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,089.30 / $3,715.35 / $9,549.93	Facility	50	$2,089.30	$3,715.35	$9,549.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $416.87 / $831.76	Professional		$204.17	$416.87	$831.76
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $309.03 / $588.84 / $1,148.15	Professional	50	$309.03	$588.84	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $933.25 / $2,238.72	Facility		$645.65	$933.25	$2,238.72
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $245.47 / $245.47 / $245.47	Facility	22	$245.47	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $501.19 / $1,071.52	Professional		$263.03	$501.19	$1,071.52
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $891.25 / $1,778.28	Facility		$724.44	$891.25	$1,778.28
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $478.63 / $933.25	Professional		$263.03	$478.63	$933.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $331.13 / $2,089.30	Facility		$131.83	$331.13	$2,089.30
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $691.83 / $1,862.09 / $2,511.89	Facility	50	$691.83	$1,862.09	$2,511.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $407.38 / $1,819.70	Professional		$204.17	$407.38	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,238.72 / $4,265.80	Facility		$977.24	$2,238.72	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $275.42 / $724.44	Professional		$134.90	$275.42	$724.44