Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.77 / $2,254.71 / $4,407.71	Facility		$154.77	$2,254.71	$4,407.71
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $30.95 / $101.79 / $101.79	Facility	53	$30.95	$101.79	$101.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.77 / $508.94 / $2,638.85	Professional		$154.77	$508.94	$2,638.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $790.55 / $2,656.15 / $5,761.70	Facility		$790.55	$2,656.15	$5,761.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.64 / $740.95 / $1,689.79	Professional		$290.64	$740.95	$1,689.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,254.97 / $1,779.71 / $4,281.33	Facility		$1,254.97	$1,779.71	$4,281.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.86 / $873.81 / $2,100.56	Professional		$377.86	$873.81	$2,100.56
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,020.20 / $1,627.08 / $3,371.13	Facility		$1,020.20	$1,627.08	$3,371.13
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $336.11 / $826.94 / $1,825.00	Professional		$336.11	$826.94	$1,825.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $271.35 / $1,282.81 / $3,500.90	Facility		$271.35	$1,282.81	$3,500.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $954.23 / $1,731.77 / $2,509.23	Professional		$954.23	$1,731.77	$2,509.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,296.00 / $3,500.00 / $6,361.00	Facility		$2,296.00	$3,500.00	$6,361.00
United Facility/Professional Professional Modifier Low / Median / High Price $688.37 / $1,627.39 / $2,415.55	Professional		$688.37	$1,627.39	$2,415.55