Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.79 / $375.14 / $4,362.47	Facility		$162.79	$375.14	$4,362.47
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $81.40 / $187.57 / $187.57	Facility	52	$81.40	$187.57	$187.57
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $32.56 / $75.03 / $75.03	Facility	53	$32.56	$75.03	$75.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.79 / $283.07 / $645.63	Professional		$162.79	$283.07	$645.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $830.35 / $1,577.10 / $3,351.32	Facility		$830.35	$1,577.10	$3,351.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.85 / $633.97 / $1,307.45	Professional		$338.85	$633.97	$1,307.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.49 / $1,362.85 / $3,278.52	Facility		$812.49	$1,362.85	$3,278.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.94 / $729.30 / $1,614.49	Professional		$358.94	$729.30	$1,614.49
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $700.80 / $1,201.58 / $2,581.51	Facility		$700.80	$1,201.58	$2,581.51
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $363.02 / $677.29 / $1,402.31	Professional		$363.02	$677.29	$1,402.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $234.19 / $516.83 / $2,208.23	Facility		$234.19	$516.83	$2,208.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $385.26 / $855.51 / $2,720.25	Professional		$385.26	$855.51	$2,720.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $3,500.00 / $6,361.00	Facility		$1,224.00	$3,500.00	$6,361.00
United Facility/Professional Professional Modifier Low / Median / High Price $385.26 / $777.74 / $1,472.47	Professional		$385.26	$777.74	$1,472.47