Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.01 / $776.44 / $4,031.80	Facility		$112.01	$776.44	$4,031.80
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $56.01 / $172.03 / $172.03	Facility	52	$56.01	$172.03	$172.03
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $22.40 / $68.81 / $68.81	Facility	53	$22.40	$68.81	$68.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.67 / $344.05 / $1,248.67	Professional		$99.67	$344.05	$1,248.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $639.04 / $1,190.60 / $2,232.51	Facility		$639.04	$1,190.60	$2,232.51
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,432.44 / $2,173.33 / $3,810.74	Facility	50	$1,432.44	$2,173.33	$3,810.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.56 / $475.65 / $1,063.94	Professional		$193.56	$475.65	$1,063.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $789.20 / $1,119.19 / $2,692.35	Facility		$789.20	$1,119.19	$2,692.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.21 / $556.73 / $1,325.08	Professional		$254.21	$556.73	$1,325.08
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $641.55 / $1,023.20 / $2,119.96	Facility		$641.55	$1,023.20	$2,119.96
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $224.07 / $521.65 / $1,151.25	Professional		$224.07	$521.65	$1,151.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $184.39 / $640.57 / $2,872.00	Facility		$184.39	$640.57	$2,872.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,706.00 / $2,706.00 / $2,706.00	Facility	50	$2,706.00	$2,706.00	$2,706.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $437.26 / $909.50 / $1,853.05	Professional		$437.26	$909.50	$1,853.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $2,872.00 / $4,241.00	Facility		$1,755.00	$2,872.00	$4,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $413.95 / $828.28 / $1,277.09	Professional		$413.95	$828.28	$1,277.09