Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $295.12 / $295.12	Facility		$144.54	$295.12	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $257.04 / $436.52	Professional		$134.90	$257.04	$436.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,949.84 / $4,466.84	Facility		$812.83	$1,949.84	$4,466.84
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,290.87 / $4,073.80 / $10,471.29	Facility	50	$2,290.87	$4,073.80	$10,471.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $446.68 / $812.83	Professional		$234.42	$446.68	$812.83
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $346.74 / $645.65 / $1,174.90	Professional	50	$346.74	$645.65	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,023.29 / $2,454.71	Facility		$707.95	$1,023.29	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $588.84 / $1,148.15	Professional		$295.12	$588.84	$1,148.15
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $977.24 / $1,905.46	Facility		$794.33	$977.24	$1,905.46
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $549.54 / $1,000.00	Professional		$302.00	$549.54	$1,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $316.23 / $831.76	Facility		$162.18	$316.23	$831.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $489.78 / $1,148.15	Professional		$269.15	$489.78	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,691.53 / $6,456.54	Facility		$1,000.00	$2,691.53	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $363.08 / $794.33	Professional		$177.83	$363.08	$794.33