Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.02 / $307.25 / $2,525.00	Facility		$167.02	$307.25	$2,525.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.96 / $248.72 / $832.86	Professional		$149.96	$248.72	$832.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $342.56 / $377.10 / $1,128.59	Professional	50	$342.56	$377.10	$1,128.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $719.75 / $1,761.41 / $3,597.94	Facility		$719.75	$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 $273.25 / $489.32 / $902.54	Professional		$273.25	$489.32	$902.54
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $397.55 / $696.35 / $1,260.75	Professional	50	$397.55	$696.35	$1,260.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $669.18 / $1,003.33 / $2,413.64	Facility		$669.18	$1,003.33	$2,413.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.64 / $603.99 / $1,127.07	Professional		$308.64	$603.99	$1,127.07
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $557.09 / $915.60 / $1,900.50	Facility		$557.09	$915.60	$1,900.50
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $304.32 / $541.45 / $1,081.13	Professional		$304.32	$541.45	$1,081.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $179.27 / $358.54 / $2,296.00	Facility		$179.27	$358.54	$2,296.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $305.67 / $528.12 / $1,170.24	Professional		$305.67	$528.12	$1,170.24
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $828.06 / $837.41 / $1,594.37	Professional	50	$828.06	$837.41	$1,594.37
United Facility/Professional Facility Modifier Low / Median / High Price $976.00 / $2,296.00 / $6,275.00	Facility		$976.00	$2,296.00	$6,275.00
United Facility/Professional Professional Modifier Low / Median / High Price $305.67 / $493.58 / $1,070.04	Professional		$305.67	$493.58	$1,070.04