Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.19 / $2,315.00 / $4,884.07	Facility		$179.19	$2,315.00	$4,884.07
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $89.60 / $200.07 / $200.07	Facility	52	$89.60	$200.07	$200.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.06 / $343.01 / $546.91	Professional		$169.06	$343.01	$546.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $824.78 / $5,890.92 / $13,308.42	Facility		$824.78	$5,890.92	$13,308.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.54 / $623.14 / $1,264.21	Professional		$310.54	$623.14	$1,264.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $932.39 / $1,322.24 / $3,180.83	Facility		$932.39	$1,322.24	$3,180.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.04 / $805.31 / $1,576.86	Professional		$411.04	$805.31	$1,576.86
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $757.96 / $1,208.83 / $2,504.59	Facility		$757.96	$1,208.83	$2,504.59
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $362.30 / $675.94 / $1,370.00	Professional		$362.30	$675.94	$1,370.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $288.26 / $655.58 / $2,523.00	Facility		$288.26	$655.58	$2,523.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $498.13 / $1,030.22 / $1,980.47	Professional		$498.13	$1,030.22	$1,980.47
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 $496.06 / $936.66 / $1,494.82	Professional		$496.06	$936.66	$1,494.82