Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.23 / $127.91 / $2,168.00	Facility		$93.23	$127.91	$2,168.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.23 / $127.91 / $209.30	Professional		$93.23	$127.91	$209.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $422.17 / $3,665.85 / $8,281.67	Facility		$422.17	$3,665.85	$8,281.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.91 / $221.32 / $405.09	Professional		$148.91	$221.32	$405.09
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $222.42 / $327.86 / $555.90	Professional	50	$222.42	$327.86	$555.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.17 / $421.64 / $1,014.30	Facility		$297.17	$421.64	$1,014.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.29 / $279.66 / $507.87	Professional		$164.29	$279.66	$507.87
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $241.70 / $385.48 / $798.66	Facility		$241.70	$385.48	$798.66
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $164.36 / $271.52 / $477.36	Professional		$164.36	$271.52	$477.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.83 / $188.06 / $563.00	Facility		$112.83	$188.06	$563.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.57 / $226.33 / $663.52	Professional		$134.57	$226.33	$663.52
United Facility/Professional Facility Modifier Low / Median / High Price $563.00 / $1,749.00 / $2,883.00	Facility		$563.00	$1,749.00	$2,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.57 / $211.98 / $446.54	Professional		$134.57	$211.98	$446.54