Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $58.88 / $257.04	Facility		$20.42	$58.88	$257.04
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $58.88 / $58.88 / $190.55	Facility	50	$58.88	$58.88	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $51.29 / $138.04	Professional		$28.84	$51.29	$138.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $60.26 / $165.96 / $371.54	Professional	50	$60.26	$165.96	$371.54
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $31.62 / $38.90 / $38.90	Professional	52	$31.62	$38.90	$38.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $213.80 / $1,071.52	Facility		$93.33	$213.80	$1,071.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $89.13 / $162.18	Professional		$54.95	$89.13	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $177.83 / $416.87	Facility		$125.89	$177.83	$416.87
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $43.65 / $43.65 / $43.65	Facility	52	$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $131.83 / $208.93	Professional		$69.18	$131.83	$208.93
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $169.82 / $331.13	Facility		$134.90	$169.82	$331.13
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $107.15 / $190.55	Professional		$69.18	$107.15	$190.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $97.72 / $1,445.44	Facility		$45.71	$97.72	$1,445.44
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $194.98 / $1,380.38 / $4,786.30	Facility	50	$194.98	$1,380.38	$4,786.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $102.33 / $263.03	Professional		$58.88	$102.33	$263.03
Medica Facility/Professional Professional Modifier 52 Low / Median / High Price $72.44 / $72.44 / $72.44	Professional	52	$72.44	$72.44	$72.44
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 $45.71 / $85.11 / $169.82	Professional		$45.71	$85.11	$169.82