Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.65 / $194.24 / $4,828.00	Facility		$119.65	$194.24	$4,828.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.95 / $188.10 / $312.20	Professional		$114.95	$188.10	$312.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,833.38 / $1,833.38 / $1,833.38	Professional	50	$1,833.38	$1,833.38	$1,833.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $317.45 / $646.61 / $1,026.82	Facility		$317.45	$646.61	$1,026.82
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $552.20 / $842.40 / $1,481.75	Facility	50	$552.20	$842.40	$1,481.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.30 / $405.07 / $676.88	Professional		$221.30	$405.07	$676.88
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $331.95 / $575.24 / $984.86	Professional	50	$331.95	$575.24	$984.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.62 / $684.41 / $1,646.44	Facility		$482.62	$684.41	$1,646.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.92 / $510.65 / $830.91	Professional		$284.92	$510.65	$830.91
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $392.33 / $625.72 / $1,296.41	Facility		$392.33	$625.72	$1,296.41
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $260.45 / $431.26 / $766.75	Professional		$260.45	$431.26	$766.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $164.73 / $280.70 / $635.61	Facility		$164.73	$280.70	$635.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.61 / $524.44 / $1,047.49	Professional		$251.61	$524.44	$1,047.49
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 $251.61 / $466.66 / $759.03	Professional		$251.61	$466.66	$759.03