Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,398.83 / $4,897.79	Facility		$630.96	$2,398.83	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $234.42 / $977.24	Professional		$69.18	$234.42	$977.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,467.37 / $3,630.78	Facility		$1,348.96	$3,467.37	$3,630.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $524.81 / $1,230.27	Professional		$245.47	$524.81	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,412.54 / $3,388.44	Facility		$870.96	$1,412.54	$3,388.44
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	22	$275.42	$275.42	$275.42
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $186.21 / $186.21 / $186.21	Facility	52	$186.21	$186.21	$186.21
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $46.77 / $46.77 / $46.77	Facility	53	$46.77	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $575.44 / $1,445.44	Professional		$263.03	$575.44	$1,445.44
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $2,691.53	Facility		$1,096.48	$1,348.96	$2,691.53
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $630.96 / $1,380.38	Professional		$295.12	$630.96	$1,380.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,412.54 / $2,818.38	Facility		$229.09	$1,412.54	$2,818.38
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility	53	$1,949.84	$1,949.84	$1,949.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $416.87 / $1,412.54	Professional		$147.91	$416.87	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,691.53 / $6,456.54	Facility		$1,445.44	$2,691.53	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $407.38 / $1,071.52	Professional		$158.49	$407.38	$1,071.52