Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.48 / $77.80 / $397.97	Facility		$49.48	$77.80	$397.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.48 / $77.80 / $138.24	Professional		$49.48	$77.80	$138.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,335.24 / $1,335.24 / $1,335.24	Professional	50	$1,335.24	$1,335.24	$1,335.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.17 / $585.44 / $1,245.99	Facility		$260.17	$585.44	$1,245.99
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $456.48 / $692.58 / $1,214.38	Facility	50	$456.48	$692.58	$1,214.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.07 / $165.10 / $276.85	Professional		$94.07	$165.10	$276.85
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $141.11 / $239.91 / $402.81	Professional	50	$141.11	$239.91	$402.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.41 / $277.11 / $666.62	Facility		$195.41	$277.11	$666.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.25 / $210.90 / $340.53	Professional		$117.25	$210.90	$340.53
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $158.85 / $253.34 / $524.90	Facility		$158.85	$253.34	$524.90
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $108.40 / $173.64 / $315.08	Professional		$108.40	$173.64	$315.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.62 / $139.10 / $563.00	Facility		$83.62	$139.10	$563.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.94 / $220.33 / $439.41	Professional		$125.94	$220.33	$439.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,063.00 / $1,597.44 / $3,584.00	Facility		$1,063.00	$1,597.44	$3,584.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.48 / $206.50 / $318.39	Professional		$104.48	$206.50	$318.39