Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.19 / $240.60 / $2,168.00	Facility		$155.19	$240.60	$2,168.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.37 / $237.26 / $385.43	Professional		$147.37	$237.26	$385.43
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $194.52 / $249.42 / $249.42	Professional	50	$194.52	$249.42	$249.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $378.60 / $786.92 / $1,249.65	Facility		$378.60	$786.92	$1,249.65
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 $253.17 / $398.63 / $732.69	Professional		$253.17	$398.63	$732.69
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $372.02 / $583.40 / $1,024.34	Professional	50	$372.02	$583.40	$1,024.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $553.91 / $785.94 / $1,890.68	Facility		$553.91	$785.94	$1,890.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.07 / $496.26 / $929.42	Professional		$288.07	$496.26	$929.42
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $450.53 / $718.54 / $1,488.73	Facility		$450.53	$718.54	$1,488.73
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $278.85 / $469.97 / $873.59	Professional		$278.85	$469.97	$873.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $167.92 / $299.70 / $720.78	Facility		$167.92	$299.70	$720.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $222.17 / $399.86 / $1,088.72	Professional		$222.17	$399.86	$1,088.72
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $708.06 / $1,043.50 / $1,787.42	Professional	50	$708.06	$1,043.50	$1,787.42
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 $223.23 / $366.93 / $821.11	Professional		$223.23	$366.93	$821.11