Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.98 / $261.19 / $2,168.00	Facility		$230.98	$261.19	$2,168.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.98 / $426.58 / $1,131.19	Professional		$230.98	$426.58	$1,131.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $639.87 / $681.48 / $681.48	Professional	50	$639.87	$681.48	$681.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $755.43 / $1,629.21 / $3,529.62	Facility		$755.43	$1,629.21	$3,529.62
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,325.40 / $2,010.93 / $3,525.98	Facility	50	$1,325.40	$2,010.93	$3,525.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.10 / $506.21 / $851.67	Professional		$346.10	$506.21	$851.67
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $517.02 / $726.93 / $1,213.64	Professional	50	$517.02	$726.93	$1,213.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $608.64 / $863.58 / $2,077.44	Facility		$608.64	$863.58	$2,077.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.76 / $636.39 / $1,050.83	Professional		$409.76	$636.39	$1,050.83
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $495.04 / $789.52 / $1,635.79	Facility		$495.04	$789.52	$1,635.79
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $360.80 / $573.29 / $972.30	Professional		$360.80	$573.29	$972.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $267.54 / $501.68 / $1,755.00	Facility		$267.54	$501.68	$1,755.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $490.10 / $825.50 / $2,239.05	Professional		$490.10	$825.50	$2,239.05
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $1,115.83 / $1,115.83 / $1,115.83	Professional	50	$1,115.83	$1,115.83	$1,115.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $2,872.00 / $4,241.00	Facility		$1,755.00	$2,872.00	$4,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $488.91 / $869.04 / $1,969.32	Professional		$488.91	$869.04	$1,969.32