Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.47 / $174.52 / $2,168.00	Facility		$136.47	$174.52	$2,168.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $191.54 / $281.44	Professional		$136.47	$191.54	$281.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $98.86 / $296.58 / $324.68	Professional	50	$98.86	$296.58	$324.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $378.60 / $938.85 / $2,042.46	Facility		$378.60	$938.85	$2,042.46
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 $214.31 / $316.01 / $551.98	Professional		$214.31	$316.01	$551.98
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $319.76 / $461.51 / $775.11	Professional	50	$319.76	$461.51	$775.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $405.76 / $575.72 / $1,384.97	Facility		$405.76	$575.72	$1,384.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.80 / $405.51 / $686.16	Professional		$243.80	$405.51	$686.16
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $330.03 / $526.34 / $1,090.53	Facility		$330.03	$526.34	$1,090.53
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $226.83 / $371.63 / $645.04	Professional		$226.83	$371.63	$645.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $142.47 / $263.77 / $563.00	Facility		$142.47	$263.77	$563.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $179.04 / $301.11 / $953.52	Professional		$179.04	$301.11	$953.52
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $1,144.80 / $1,144.80 / $1,144.80	Professional	50	$1,144.80	$1,144.80	$1,144.80
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 $179.04 / $281.85 / $594.07	Professional		$179.04	$281.85	$594.07