Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $125.89 / $186.21	Facility		$15.14	$125.89	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $20.89 / $48.98	Professional		$12.88	$20.89	$48.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $19.95 / $54.95 / $91.20	Professional	50	$19.95	$54.95	$91.20
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $13.80 / $23.44 / $69.18	Professional	52	$13.80	$23.44	$69.18
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $64.57 / $64.57 / $64.57	Professional	53	$64.57	$64.57	$64.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $141.25 / $295.12	Facility		$85.11	$141.25	$295.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $35.48 / $57.54	Professional		$23.44	$35.48	$57.54
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $34.67 / $50.12 / $83.18	Professional	50	$34.67	$50.12	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $60.26 / $144.54	Facility		$42.66	$60.26	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $79.43	Professional		$33.11	$50.12	$79.43
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $57.54 / $112.20	Facility		$46.77	$57.54	$112.20
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $64.57	Professional		$30.20	$42.66	$64.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $57.54 / $1,445.44	Facility		$17.78	$57.54	$1,445.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $30.20 / $83.18	Professional		$16.60	$30.20	$83.18
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $109.65 / $109.65 / $114.82	Professional	50	$109.65	$109.65	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $1,862.09 / $3,715.35	Facility		$208.93	$1,862.09	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $31.62 / $58.88	Professional		$16.98	$31.62	$58.88