Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $263.03 / $630.96	Facility		$229.09	$263.03	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $436.52 / $1,122.02	Professional		$234.42	$436.52	$1,122.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $645.65 / $676.08 / $1,659.59	Professional	50	$645.65	$676.08	$1,659.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,778.28 / $4,168.69	Facility		$870.96	$1,778.28	$4,168.69
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,288.25 / $2,290.87 / $5,888.44	Facility	50	$1,288.25	$2,290.87	$5,888.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $512.86 / $851.14	Professional		$346.74	$512.86	$851.14
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $501.19 / $758.58 / $1,258.93	Professional	50	$501.19	$758.58	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $912.01 / $2,187.76	Facility		$645.65	$912.01	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $676.08 / $1,096.48	Professional		$416.87	$676.08	$1,096.48
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $1,698.24	Facility		$707.95	$870.96	$1,698.24
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $616.60 / $977.24	Professional		$436.52	$616.60	$977.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $501.19 / $1,737.80	Facility		$269.15	$501.19	$1,737.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $776.25 / $2,511.89	Professional		$446.68	$776.25	$2,511.89
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional	50	$1,122.02	$1,122.02	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,137.96 / $4,265.80	Facility		$1,000.00	$2,137.96	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $776.25 / $1,659.59	Professional		$446.68	$776.25	$1,659.59