Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $104.71 / $104.71	Facility		$85.11	$104.71	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $104.71 / $169.82	Professional		$77.62	$104.71	$169.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $144.54 / $147.91 / $181.97	Professional	50	$144.54	$147.91	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,174.90 / $3,019.95	Facility		$630.96	$1,174.90	$3,019.95
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $933.25 / $1,698.24 / $4,265.80	Facility	50	$933.25	$1,698.24	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $316.23	Professional		$131.83	$194.98	$316.23
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $186.21 / $288.40 / $446.68	Professional	50	$186.21	$288.40	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $363.08 / $870.96	Facility		$257.04	$363.08	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $257.04 / $407.38	Professional		$162.18	$257.04	$407.38
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $346.74 / $691.83	Facility		$281.84	$346.74	$691.83
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $245.47 / $389.05	Professional		$165.96	$245.47	$389.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $158.49 / $338.84	Facility		$81.28	$158.49	$338.84
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	50	$524.81	$524.81	$524.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $169.82 / $588.84	Professional		$93.33	$169.82	$588.84
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $309.03 / $316.23 / $489.78	Professional	50	$309.03	$316.23	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $3,715.35	Facility		$1,096.48	$1,862.09	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $309.03	Professional		$95.50	$151.36	$309.03