Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.30 / $112.89 / $2,168.00	Facility		$107.30	$112.89	$2,168.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $107.30 / $182.03	Professional		$86.76	$107.30	$182.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $49.80 / $49.80 / $49.80	Professional	50	$49.80	$49.80	$49.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $378.60 / $617.23 / $1,178.08	Facility		$378.60	$617.23	$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 $157.16 / $223.15 / $368.35	Professional		$157.16	$223.15	$368.35
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $235.76 / $320.54 / $526.07	Professional	50	$235.76	$320.54	$526.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.49 / $373.86 / $899.37	Facility		$263.49	$373.86	$899.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.05 / $283.52 / $458.52	Professional		$171.05	$283.52	$458.52
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $214.31 / $341.80 / $708.16	Facility		$214.31	$341.80	$708.16
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $169.35 / $248.79 / $423.48	Professional		$169.35	$248.79	$423.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $113.56 / $190.78 / $563.00	Facility		$113.56	$190.78	$563.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $240.75 / $240.75 / $3,506.85	Facility	50	$240.75	$240.75	$3,506.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.92 / $194.95 / $747.84	Professional		$115.92	$194.95	$747.84
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $303.27 / $396.62 / $523.15	Professional	50	$303.27	$396.62	$523.15
United Facility/Professional Facility Modifier Low / Median / High Price $563.00 / $1,749.00 / $2,883.00	Facility		$563.00	$1,749.00	$2,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.92 / $183.75 / $384.64	Professional		$115.92	$183.75	$384.64