Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.78 / $258.48 / $2,525.00	Facility		$157.78	$258.48	$2,525.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.50 / $221.12 / $413.34	Professional		$130.50	$221.12	$413.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.74 / $3,744.92 / $8,304.51	Facility		$288.74	$3,744.92	$8,304.51
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $5,328.39 / $8,084.34 / $14,175.17	Facility	50	$5,328.39	$8,084.34	$14,175.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.54 / $420.28 / $787.91	Professional		$261.54	$420.28	$787.91
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $377.97 / $620.52 / $1,082.78	Professional	50	$377.97	$620.52	$1,082.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $597.70 / $848.05 / $2,040.10	Facility		$597.70	$848.05	$2,040.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.73 / $514.34 / $952.65	Professional		$290.73	$514.34	$952.65
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $486.14 / $775.32 / $1,606.38	Facility		$486.14	$775.32	$1,606.38
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $283.36 / $497.20 / $946.61	Professional		$283.36	$497.20	$946.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.09 / $316.52 / $725.17	Facility		$173.09	$316.52	$725.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.23 / $442.65 / $1,106.72	Professional		$251.23	$442.65	$1,106.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,735.00 / $4,974.00 / $8,812.00	Facility		$2,735.00	$4,974.00	$8,812.00
United Facility/Professional Professional Modifier Low / Median / High Price $242.40 / $406.76 / $862.80	Professional		$242.40	$406.76	$862.80