Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.29 / $220.20 / $2,525.00	Facility		$136.29	$220.20	$2,525.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $216.27 / $353.08	Professional		$132.00	$216.27	$353.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $576.61 / $1,042.77 / $2,047.68	Facility		$576.61	$1,042.77	$2,047.68
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,213.75 / $1,897.45 / $3,337.56	Facility	50	$1,213.75	$1,897.45	$3,337.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.03 / $456.14 / $766.03	Professional		$249.03	$456.14	$766.03
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $373.55 / $653.42 / $1,114.58	Professional	50	$373.55	$653.42	$1,114.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $547.47 / $776.38 / $1,867.69	Facility		$547.47	$776.38	$1,867.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.60 / $579.78 / $942.56	Professional		$321.60	$579.78	$942.56
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $445.06 / $709.80 / $1,470.63	Facility		$445.06	$709.80	$1,470.63
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $293.91 / $470.82 / $865.47	Professional		$293.91	$470.82	$865.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $195.39 / $313.99 / $1,438.00	Facility		$195.39	$313.99	$1,438.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $287.14 / $594.91 / $1,188.49	Professional		$287.14	$594.91	$1,188.49
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 $284.75 / $514.25 / $861.19	Professional		$284.75	$514.25	$861.19