Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.60 / $144.24 / $2,168.00	Facility		$125.60	$144.24	$2,168.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.17 / $140.32 / $281.27	Professional		$104.17	$140.32	$281.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $85.06 / $156.26 / $931.50	Professional	50	$85.06	$156.26	$931.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $378.60 / $660.68 / $1,178.08	Facility		$378.60	$660.68	$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 $189.76 / $276.39 / $468.07	Professional		$189.76	$276.39	$468.07
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $283.85 / $394.26 / $641.64	Professional	50	$283.85	$394.26	$641.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $335.05 / $475.39 / $1,143.59	Facility		$335.05	$475.39	$1,143.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.97 / $345.32 / $578.76	Professional		$210.97	$345.32	$578.76
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $272.51 / $434.62 / $900.48	Facility		$272.51	$434.62	$900.48
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $197.67 / $314.10 / $535.51	Professional		$197.67	$314.10	$535.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $118.63 / $218.63 / $404.69	Facility		$118.63	$218.63	$404.69
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $240.75 / $240.75 / $4,094.10	Facility	50	$240.75	$240.75	$4,094.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.57 / $247.03 / $773.28	Professional		$141.57	$247.03	$773.28
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $372.32 / $404.44 / $851.85	Professional	50	$372.32	$404.44	$851.85
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 $133.53 / $231.66 / $532.29	Professional		$133.53	$231.66	$532.29