Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.93 / $958.55 / $2,811.98	Facility		$98.93	$958.55	$2,811.98
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $49.47 / $145.43 / $145.43	Facility	52	$49.47	$145.43	$145.43
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $19.79 / $58.17 / $58.17	Facility	53	$19.79	$58.17	$58.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.14 / $276.27 / $570.26	Professional		$97.14	$276.27	$570.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $474.19 / $1,462.23 / $3,221.46	Facility		$474.19	$1,462.23	$3,221.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.86 / $439.04 / $991.12	Professional		$206.86	$439.04	$991.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $621.65 / $1,042.74 / $2,508.46	Facility		$621.65	$1,042.74	$2,508.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.64 / $491.40 / $1,229.81	Professional		$222.64	$491.40	$1,229.81
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $536.20 / $919.36 / $1,975.16	Facility		$536.20	$919.36	$1,975.16
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $220.43 / $486.54 / $1,070.74	Professional		$220.43	$486.54	$1,070.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $142.29 / $416.75 / $1,718.71	Facility		$142.29	$416.75	$1,718.71
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $2,046.00 / $2,046.00 / $2,046.00	Facility	52	$2,046.00	$2,046.00	$2,046.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $337.12 / $749.90 / $2,156.80	Professional		$337.12	$749.90	$2,156.80
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 $308.93 / $594.20 / $1,192.47	Professional		$308.93	$594.20	$1,192.47