Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $173.78 / $173.78	Facility		$134.90	$173.78	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $190.55 / $371.54	Professional		$134.90	$190.55	$371.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $229.09 / $323.59 / $323.59	Professional	50	$229.09	$323.59	$323.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,047.13 / $2,238.72	Facility		$467.74	$1,047.13	$2,238.72
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $707.95 / $1,258.93 / $3,162.28	Facility	50	$707.95	$1,258.93	$3,162.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $537.03	Professional		$213.80	$316.23	$537.03
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $302.00 / $478.63 / $776.25	Professional	50	$302.00	$478.63	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $602.56 / $1,445.44	Facility		$426.58	$602.56	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $436.52 / $691.83	Professional		$257.04	$436.52	$691.83
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $575.44 / $1,148.15	Facility		$467.74	$575.44	$1,148.15
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $407.38 / $645.65	Professional		$269.15	$407.38	$645.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $263.03 / $512.86	Facility		$141.25	$263.03	$512.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $295.12 / $954.99	Professional		$158.49	$295.12	$954.99
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional	50	$1,148.15	$1,148.15	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,862.09 / $3,715.35	Facility		$812.83	$1,862.09	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $263.03 / $512.86	Professional		$162.18	$263.03	$512.86