Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.61 / $80.14 / $206.14	Facility		$45.61	$80.14	$206.14
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $153.69 / $153.69 / $153.69	Facility	50	$153.69	$153.69	$153.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.61 / $80.14 / $269.10	Professional		$45.61	$80.14	$269.10
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $99.45 / $330.58 / $647.20	Professional	50	$99.45	$330.58	$647.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.77 / $222.25 / $453.98	Facility		$105.77	$222.25	$453.98
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $291.27 / $441.94 / $774.90	Facility	50	$291.27	$441.94	$774.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.83 / $158.25 / $277.14	Professional		$86.83	$158.25	$277.14
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $130.25 / $235.65 / $413.06	Professional	50	$130.25	$235.65	$413.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.46 / $284.27 / $683.86	Facility		$200.46	$284.27	$683.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.80 / $196.61 / $344.38	Professional		$107.80	$196.61	$344.38
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $162.96 / $259.89 / $538.48	Facility		$162.96	$259.89	$538.48
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $99.67 / $173.15 / $320.58	Professional		$99.67	$173.15	$320.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.29 / $142.08 / $413.79	Facility		$75.29	$142.08	$413.79
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $568.35 / $568.35 / $568.35	Facility	50	$568.35	$568.35	$568.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $118.94 / $226.41 / $451.67	Professional		$118.94	$226.41	$451.67
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 $108.76 / $195.43 / $327.27	Professional		$108.76	$195.43	$327.27