Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.10 / $146.13 / $146.13	Facility		$130.10	$146.13	$146.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.40 / $145.53 / $236.70	Professional		$113.40	$145.53	$236.70
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $172.38 / $172.38 / $172.38	Professional	50	$172.38	$172.38	$172.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $378.60 / $674.70 / $1,178.08	Facility		$378.60	$674.70	$1,178.08
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $664.26 / $1,007.83 / $1,767.15	Facility	50	$664.26	$1,007.83	$1,767.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.38 / $279.26 / $472.76	Professional		$198.38	$279.26	$472.76
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $289.13 / $406.14 / $664.37	Professional	50	$289.13	$406.14	$664.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $337.57 / $478.97 / $1,152.22	Facility		$337.57	$478.97	$1,152.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.43 / $350.64 / $583.14	Professional		$219.43	$350.64	$583.14
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $274.56 / $437.89 / $907.26	Facility		$274.56	$437.89	$907.26
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $205.60 / $318.16 / $539.57	Professional		$205.60	$318.16	$539.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $124.75 / $230.08 / $409.99	Facility		$124.75	$230.08	$409.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $142.86 / $251.71 / $910.64	Professional		$142.86	$251.71	$910.64
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $347.56 / $347.56 / $347.56	Professional	50	$347.56	$347.56	$347.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,063.00 / $1,597.44 / $3,584.00	Facility		$1,063.00	$1,597.44	$3,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.44 / $232.42 / $525.19	Professional		$137.44	$232.42	$525.19