Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $54.95 / $1,318.26	Facility		$48.98	$54.95	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $72.44 / $128.82	Professional		$47.86	$72.44	$128.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $109.65 / $109.65 / $109.65	Professional	50	$109.65	$109.65	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,047.13 / $2,238.72	Facility		$467.74	$1,047.13	$2,238.72
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $707.95 / $1,258.93 / $3,162.28	Facility	50	$707.95	$1,258.93	$3,162.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $173.78	Professional		$72.44	$109.65	$173.78
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $109.65 / $162.18 / $251.19	Professional	50	$109.65	$162.18	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $190.55 / $457.09	Facility		$134.90	$190.55	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $144.54 / $229.09	Professional		$87.10	$144.54	$229.09
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $181.97 / $354.81	Facility		$147.91	$181.97	$354.81
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $204.17	Professional		$91.20	$128.82	$204.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $93.33 / $562.34	Facility		$56.23	$93.33	$562.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $138.04 / $398.11	Professional		$66.07	$138.04	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,862.09 / $3,715.35	Facility		$812.83	$1,862.09	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $123.03 / $208.93	Professional		$66.07	$123.03	$208.93