Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.53 / $23.51 / $23.51	Facility		$20.53	$23.51	$23.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.36 / $34.10 / $63.68	Professional		$18.36	$34.10	$63.68
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $14.55 / $28.28 / $60.44	Professional	50	$14.55	$28.28	$60.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.65 / $255.22 / $501.10	Facility		$148.65	$255.22	$501.10
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $291.27 / $441.94 / $774.90	Facility	50	$291.27	$441.94	$774.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.47 / $44.30 / $75.58	Professional		$31.47	$44.30	$75.58
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $45.65 / $64.29 / $106.76	Professional	50	$45.65	$64.29	$106.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.14 / $66.89 / $160.91	Facility		$47.14	$66.89	$160.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $57.61 / $95.50	Professional		$35.97	$57.61	$95.50
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $38.34 / $61.15 / $126.70	Facility		$38.34	$61.15	$126.70
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $32.51 / $51.42 / $89.25	Professional		$32.51	$51.42	$89.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.08 / $45.47 / $321.00	Facility		$24.08	$45.47	$321.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.25 / $68.04 / $300.00	Professional		$32.25	$68.04	$300.00
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $67.53 / $67.53 / $67.53	Professional	50	$67.53	$67.53	$67.53
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 $28.42 / $64.27 / $101.47	Professional		$28.42	$64.27	$101.47