Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.94 / $2,615.44 / $3,842.07	Facility		$169.94	$2,615.44	$3,842.07
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $84.97 / $164.86 / $5,077.60	Facility	52	$84.97	$164.86	$5,077.60
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $33.99 / $84.97 / $247.03	Facility	53	$33.99	$84.97	$247.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.41 / $329.71 / $1,416.60	Professional		$170.41	$329.71	$1,416.60
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $37.21 / $84.97 / $251.24	Professional	53	$37.21	$84.97	$251.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $955.66 / $1,936.49 / $3,585.17	Facility		$955.66	$1,936.49	$3,585.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.79 / $639.34 / $1,195.39	Professional		$353.79	$639.34	$1,195.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $769.89 / $1,201.59 / $2,890.62	Facility		$769.89	$1,201.59	$2,890.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.49 / $734.04 / $1,430.24	Professional		$375.49	$734.04	$1,430.24
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $116.81 / $210.90 / $336.15	Professional	53	$116.81	$210.90	$336.15
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $667.18 / $1,098.55 / $2,276.08	Facility		$667.18	$1,098.55	$2,276.08
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $379.76 / $670.35 / $1,245.25	Professional		$379.76	$670.35	$1,245.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $279.52 / $775.54 / $2,662.44	Facility		$279.52	$775.54	$2,662.44
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $1,082.89 / $1,082.89 / $1,987.13	Facility	53	$1,082.89	$1,082.89	$1,987.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $434.43 / $706.71 / $1,447.20	Professional		$434.43	$706.71	$1,447.20
Medica Facility/Professional Professional Modifier 53 Low / Median / High Price $213.36 / $353.36 / $1,486.80	Professional	53	$213.36	$353.36	$1,486.80
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 $356.96 / $666.66 / $1,312.25	Professional		$356.96	$666.66	$1,312.25
United Facility/Professional Professional Modifier 53 Low / Median / High Price $100.00 / $143.90 / $165.30	Professional	53	$100.00	$143.90	$165.30