Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.57 / $441.89 / $2,168.00	Facility		$89.57	$441.89	$2,168.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $44.79 / $220.95 / $220.95	Facility	52	$44.79	$220.95	$220.95
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $17.91 / $88.38 / $88.38	Facility	53	$17.91	$88.38	$88.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.62 / $379.92 / $897.12	Professional		$81.62	$379.92	$897.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $392.74 / $2,519.34 / $5,691.54	Facility		$392.74	$2,519.34	$5,691.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.58 / $493.61 / $1,257.63	Professional		$146.58	$493.61	$1,257.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $957.16 / $1,358.07 / $3,267.03	Facility		$957.16	$1,358.07	$3,267.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.92 / $555.41 / $1,595.56	Professional		$184.92	$555.41	$1,595.56
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $754.06 / $1,241.59 / $2,572.46	Facility		$754.06	$1,241.59	$2,572.46
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $170.96 / $549.91 / $1,292.43	Professional		$170.96	$549.91	$1,292.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $140.97 / $746.79 / $4,024.32	Facility		$140.97	$746.79	$4,024.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $523.97 / $968.54 / $1,727.50	Professional		$523.97	$968.54	$1,727.50
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 $443.36 / $805.38 / $1,649.48	Professional		$443.36	$805.38	$1,649.48