Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,818.38 / $4,365.16	Facility		$741.31	$2,818.38	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $436.52 / $1,258.93	Professional		$245.47	$436.52	$1,258.93
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $104.71 / $117.49 / $208.93	Professional	53	$104.71	$117.49	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,466.84 / $4,570.88	Facility		$1,380.38	$4,466.84	$4,570.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $812.83 / $1,548.82	Professional		$457.09	$812.83	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,621.81 / $4,073.80	Facility		$1,096.48	$1,621.81	$4,073.80
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $512.86 / $512.86 / $512.86	Facility	22	$512.86	$512.86	$512.86
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $338.84 / $338.84 / $338.84	Facility	52	$338.84	$338.84	$338.84
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $85.11 / $85.11 / $85.11	Facility	53	$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $933.25 / $1,862.09	Professional		$467.74	$933.25	$1,862.09
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $588.84 / $588.84 / $588.84	Professional	53	$588.84	$588.84	$588.84
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $3,162.28	Facility		$1,230.27	$1,513.56	$3,162.28
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $912.01 / $1,698.24	Professional		$537.03	$912.01	$1,698.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,348.96 / $3,090.30	Facility		$416.87	$1,348.96	$3,090.30
Medica Facility/Professional Facility Modifier 22 Low / Median / High Price $602.56 / $602.56 / $2,818.38	Facility	22	$602.56	$602.56	$2,818.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $933.25 / $1,995.26	Professional		$512.86	$933.25	$1,995.26
Medica Facility/Professional Professional Modifier 53 Low / Median / High Price $1,412.54 / $1,995.26 / $2,089.30	Professional	53	$1,412.54	$1,995.26	$2,089.30
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 $295.12 / $602.56 / $1,318.26	Professional		$295.12	$602.56	$1,318.26