Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.26 / $204.81 / $4,828.00	Facility		$131.26	$204.81	$4,828.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.31 / $204.81 / $895.00	Professional		$124.31	$204.81	$895.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $351.71 / $1,242.59 / $1,563.23	Professional	50	$351.71	$1,242.59	$1,563.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $563.10 / $1,042.77 / $2,034.11	Facility		$563.10	$1,042.77	$2,034.11
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 $258.79 / $453.91 / $716.76	Professional		$258.79	$453.91	$716.76
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $364.52 / $622.16 / $1,042.89	Professional	50	$364.52	$622.16	$1,042.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.41 / $723.83 / $1,741.27	Facility		$510.41	$723.83	$1,741.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.04 / $554.36 / $876.91	Professional		$310.04	$554.36	$876.91
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $414.93 / $661.75 / $1,371.08	Facility		$414.93	$661.75	$1,371.08
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $286.64 / $459.17 / $811.38	Professional		$286.64	$459.17	$811.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $178.45 / $303.86 / $1,227.90	Facility		$178.45	$303.86	$1,227.90
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,533.26 / $1,533.26 / $1,533.26	Facility	50	$1,533.26	$1,533.26	$1,533.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $266.44 / $553.87 / $1,105.90	Professional		$266.44	$553.87	$1,105.90
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 $266.44 / $484.42 / $801.35	Professional		$266.44	$484.42	$801.35