Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.87 / $442.67 / $6,726.95	Facility		$88.87	$442.67	$6,726.95
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $44.44 / $120.43 / $120.43	Facility	52	$44.44	$120.43	$120.43
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $17.77 / $48.17 / $48.17	Facility	53	$17.77	$48.17	$48.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $211.63 / $1,101.05	Professional		$78.06	$211.63	$1,101.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,757.76 / $6,498.38 / $12,890.36	Facility		$3,757.76	$6,498.38	$12,890.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.59 / $326.94 / $709.23	Professional		$149.59	$326.94	$709.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.63 / $752.49 / $1,810.23	Facility		$530.63	$752.49	$1,810.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.92 / $405.09 / $894.22	Professional		$184.92	$405.09	$894.22
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $417.82 / $687.96 / $1,425.38	Facility		$417.82	$687.96	$1,425.38
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $170.96 / $350.04 / $772.50	Professional		$170.96	$350.04	$772.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $150.19 / $429.25 / $4,927.63	Facility		$150.19	$429.25	$4,927.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $303.75 / $510.00 / $1,374.00	Professional		$303.75	$510.00	$1,374.00
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 $253.66 / $432.25 / $868.55	Professional		$253.66	$432.25	$868.55