Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $194.98 / $194.98	Facility		$120.23	$194.98	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $426.58	Professional		$112.20	$177.83	$426.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $295.12 / $1,513.56 / $1,513.56	Professional	50	$295.12	$1,513.56	$1,513.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $707.95 / $1,698.24	Facility		$363.08	$707.95	$1,698.24
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $549.54 / $977.24 / $2,511.89	Facility	50	$549.54	$977.24	$2,511.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $346.74 / $645.65	Professional		$208.93	$346.74	$645.65
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $309.03 / $512.86 / $912.01	Professional	50	$309.03	$512.86	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $724.44 / $1,737.80	Facility		$512.86	$724.44	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $512.86 / $831.76	Professional		$275.42	$512.86	$831.76
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $691.83 / $1,348.96	Facility		$549.54	$691.83	$1,348.96
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $426.58 / $776.25	Professional		$269.15	$426.58	$776.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $281.84 / $1,737.80	Facility		$154.88	$281.84	$1,737.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $407.38 / $1,096.48	Professional		$229.09	$407.38	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,862.09 / $3,715.35	Facility		$616.60	$1,862.09	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $331.13 / $660.69	Professional		$169.82	$331.13	$660.69