Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.53 / $2,682.24 / $5,077.35	Facility		$424.53	$2,682.24	$5,077.35
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $92.52 / $212.27 / $212.27	Facility	52	$92.52	$212.27	$212.27
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $37.01 / $84.91 / $84.91	Facility	53	$37.01	$84.91	$84.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.41 / $415.13 / $1,638.75	Professional		$188.41	$415.13	$1,638.75
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $92.52 / $186.80 / $365.39	Professional	52	$92.52	$186.80	$365.39
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $37.01 / $69.53 / $146.15	Professional	53	$37.01	$69.53	$146.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,036.91 / $2,382.60 / $4,502.00	Facility		$1,036.91	$2,382.60	$4,502.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.29 / $717.35 / $1,478.14	Professional		$384.29	$717.35	$1,478.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $987.24 / $1,507.29 / $3,706.65	Facility		$987.24	$1,507.29	$3,706.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.35 / $830.14 / $1,819.65	Professional		$417.35	$830.14	$1,819.65
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $855.53 / $1,268.07 / $2,918.63	Facility		$855.53	$1,268.07	$2,918.63
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $413.22 / $770.95 / $1,584.30	Professional		$413.22	$770.95	$1,584.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $333.79 / $1,163.31 / $2,861.89	Facility		$333.79	$1,163.31	$2,861.89
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $294.80 / $294.80 / $294.80	Facility	52	$294.80	$294.80	$294.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.88 / $608.48 / $1,889.12	Professional		$93.88	$608.48	$1,889.12
Medica Facility/Professional Professional Modifier 52 Low / Median / High Price $30.77 / $1,444.50 / $1,781.19	Professional	52	$30.77	$1,444.50	$1,781.19
Medica Facility/Professional Professional Modifier 53 Low / Median / High Price $96.55 / $512.66 / $1,979.10	Professional	53	$96.55	$512.66	$1,979.10
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 $459.66 / $858.47 / $1,689.79	Professional		$459.66	$858.47	$1,689.79