Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.16 / $2,781.89 / $5,581.88	Facility		$234.16	$2,781.89	$5,581.88
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $117.08 / $220.25 / $220.25	Facility	52	$117.08	$220.25	$220.25
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $46.83 / $88.10 / $88.10	Facility	53	$46.83	$88.10	$88.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.93 / $440.49 / $1,419.25	Professional		$234.93	$440.49	$1,419.25
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $46.83 / $84.58 / $152.96	Professional	53	$46.83	$84.58	$152.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $2,311.53 / $4,502.00	Facility		$1,100.00	$2,311.53	$4,502.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $486.21 / $858.48 / $1,595.42	Professional		$486.21	$858.48	$1,595.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,027.03 / $1,568.05 / $3,856.07	Facility		$1,027.03	$1,568.05	$3,856.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.48 / $988.18 / $1,905.81	Professional		$516.48	$988.18	$1,905.81
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $890.01 / $1,319.19 / $3,036.28	Facility		$890.01	$1,319.19	$3,036.28
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $522.35 / $907.12 / $1,680.19	Professional		$522.35	$907.12	$1,680.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $411.68 / $1,175.38 / $2,960.19	Facility		$411.68	$1,175.38	$2,960.19
Medica Facility/Professional Facility Modifier 22 Low / Median / High Price $598.00 / $598.00 / $2,821.17	Facility	22	$598.00	$598.00	$2,821.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $593.57 / $955.17 / $2,002.25	Professional		$593.57	$955.17	$2,002.25
Medica Facility/Professional Professional Modifier 53 Low / Median / High Price $1,401.75 / $1,999.80 / $2,038.56	Professional	53	$1,401.75	$1,999.80	$2,038.56
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 $480.12 / $896.69 / $1,765.02	Professional		$480.12	$896.69	$1,765.02