Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.22 / $59.40 / $295.77	Facility		$31.22	$59.40	$295.77
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $59.54 / $59.54 / $190.44	Facility	50	$59.54	$59.54	$190.44
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $15.61 / $23.38 / $23.38	Facility	52	$15.61	$23.38	$23.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $54.14 / $173.01	Professional		$31.22	$54.14	$173.01
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $60.21 / $246.00 / $454.00	Professional	50	$60.21	$246.00	$454.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.61 / $23.38 / $38.61	Professional	52	$15.61	$23.38	$38.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.48 / $201.94 / $1,192.44	Facility		$79.48	$201.94	$1,192.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.89 / $102.10 / $168.93	Professional		$57.89	$102.10	$168.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.92 / $167.22 / $402.27	Facility		$117.92	$167.22	$402.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.39 / $130.27 / $206.07	Professional		$72.39	$130.27	$206.07
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $95.86 / $152.88 / $316.75	Facility		$95.86	$152.88	$316.75
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $66.93 / $108.84 / $190.67	Professional		$66.93	$108.84	$190.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.76 / $79.02 / $495.00	Facility		$46.76	$79.02	$495.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $197.10 / $1,378.80 / $4,818.51	Facility	50	$197.10	$1,378.80	$4,818.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.39 / $130.97 / $262.25	Professional		$66.39	$130.97	$262.25
Medica Facility/Professional Professional Modifier 52 Low / Median / High Price $73.02 / $73.02 / $73.02	Professional	52	$73.02	$73.02	$73.02
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 $66.39 / $133.76 / $190.03	Professional		$66.39	$133.76	$190.03