Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.79 / $655.80 / $2,525.00	Facility		$238.79	$655.80	$2,525.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $119.40 / $327.90 / $327.90	Facility	52	$119.40	$327.90	$327.90
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $47.76 / $131.16 / $131.16	Facility	53	$47.76	$131.16	$131.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.79 / $544.47 / $1,074.67	Professional		$238.79	$544.47	$1,074.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $882.81 / $1,918.16 / $4,193.72	Facility		$882.81	$1,918.16	$4,193.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.05 / $1,018.69 / $2,259.89	Professional		$501.05	$1,018.69	$2,259.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,369.11 / $2,319.35 / $5,703.65	Facility		$1,369.11	$2,319.35	$5,703.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $1,128.41 / $2,768.85	Professional		$529.89	$1,128.41	$2,768.85
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,182.66 / $1,951.26 / $4,491.06	Facility		$1,182.66	$1,951.26	$4,491.06
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $532.53 / $1,095.42 / $2,410.73	Professional		$532.53	$1,095.42	$2,410.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $343.27 / $774.18 / $1,904.19	Facility		$343.27	$774.18	$1,904.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $801.31 / $1,778.43 / $4,908.96	Professional		$801.31	$1,778.43	$4,908.96
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 $732.22 / $1,416.84 / $2,708.22	Professional		$732.22	$1,416.84	$2,708.22