Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.27 / $296.56 / $2,525.00	Facility		$146.27	$296.56	$2,525.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.27 / $290.41 / $582.86	Professional		$146.27	$290.41	$582.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $628.38 / $1,761.41 / $3,597.94	Facility		$628.38	$1,761.41	$3,597.94
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,308.54 / $3,502.56 / $6,141.43	Facility	50	$2,308.54	$3,502.56	$6,141.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.90 / $455.81 / $844.53	Professional		$239.90	$455.81	$844.53
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $349.88 / $661.53 / $1,214.69	Professional	50	$349.88	$661.53	$1,214.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $682.72 / $968.69 / $2,330.31	Facility		$682.72	$968.69	$2,330.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.68 / $567.28 / $1,088.16	Professional		$276.68	$567.28	$1,088.16
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $537.86 / $885.61 / $1,834.89	Facility		$537.86	$885.61	$1,834.89
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $266.26 / $511.98 / $952.42	Professional		$266.26	$511.98	$952.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $160.78 / $329.96 / $1,982.70	Facility		$160.78	$329.96	$1,982.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $295.85 / $508.75 / $1,103.15	Professional		$295.85	$508.75	$1,103.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,296.00 / $3,500.00 / $6,361.00	Facility		$2,296.00	$3,500.00	$6,361.00
United Facility/Professional Professional Modifier Low / Median / High Price $295.85 / $469.34 / $1,003.75	Professional		$295.85	$469.34	$1,003.75