Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.93 / $433.80 / $2,781.89	Facility		$184.93	$433.80	$2,781.89
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $92.47 / $216.90 / $216.90	Facility	52	$92.47	$216.90	$216.90
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $36.99 / $86.76 / $86.76	Facility	53	$36.99	$86.76	$86.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.93 / $362.83 / $746.04	Professional		$184.93	$362.83	$746.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $689.82 / $1,918.16 / $4,193.72	Facility		$689.82	$1,918.16	$4,193.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.65 / $719.66 / $1,508.86	Professional		$383.65	$719.66	$1,508.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,008.67 / $1,574.27 / $3,787.11	Facility		$1,008.67	$1,574.27	$3,787.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.35 / $830.84 / $1,856.88	Professional		$417.35	$830.84	$1,856.88
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $809.52 / $1,387.99 / $2,981.98	Facility		$809.52	$1,387.99	$2,981.98
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $413.22 / $770.95 / $1,616.71	Professional		$413.22	$770.95	$1,616.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $271.88 / $623.15 / $1,615.82	Facility		$271.88	$623.15	$1,615.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.51 / $726.28 / $1,794.00	Professional		$52.51	$726.28	$1,794.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,260.00 / $2,523.00 / $4,637.00	Facility		$1,260.00	$2,523.00	$4,637.00
United Facility/Professional Professional Modifier Low / Median / High Price $437.58 / $852.09 / $1,677.25	Professional		$437.58	$852.09	$1,677.25