Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $2,630.27 / $4,786.30	Facility		$478.63	$2,630.27	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $426.58 / $1,230.27	Professional		$194.98	$426.58	$1,230.27
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $194.98 / $524.81 / $1,380.38	Professional	52	$194.98	$524.81	$1,380.38
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $81.28 / $199.53 / $588.84	Professional	53	$81.28	$199.53	$588.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $4,466.84 / $4,570.88	Facility		$1,230.27	$4,466.84	$4,570.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $707.95 / $1,445.44	Professional		$363.08	$707.95	$1,445.44
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $165.96 / $165.96 / $363.08	Professional	52	$165.96	$165.96	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $3,890.45	Facility		$1,122.02	$1,584.89	$3,890.45
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $407.38 / $407.38 / $407.38	Facility	22	$407.38	$407.38	$407.38
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $269.15 / $269.15 / $269.15	Facility	52	$269.15	$269.15	$269.15
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $67.61 / $67.61 / $67.61	Facility	53	$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $794.33 / $1,737.80	Professional		$389.05	$794.33	$1,737.80
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $562.34 / $562.34 / $562.34	Professional	53	$562.34	$562.34	$562.34
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $3,019.95	Facility		$1,230.27	$1,445.44	$3,019.95
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $776.25 / $1,479.11	Professional		$426.58	$776.25	$1,479.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,479.11 / $2,951.21	Facility		$338.84	$1,479.11	$2,951.21
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $295.12 / $295.12 / $295.12	Facility	52	$295.12	$295.12	$295.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $562.34 / $1,905.46	Professional		$93.33	$562.34	$1,905.46
Medica Facility/Professional Professional Modifier 52 Low / Median / High Price $30.90 / $1,445.44 / $1,778.28	Professional	52	$30.90	$1,445.44	$1,778.28
Medica Facility/Professional Professional Modifier 53 Low / Median / High Price $95.50 / $512.86 / $1,995.26	Professional	53	$95.50	$512.86	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,019.95 / $6,456.54	Facility		$1,445.44	$3,019.95	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $524.81 / $1,258.93	Professional		$229.09	$524.81	$1,258.93