Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.29 / $361.63 / $3,119.00	Facility		$75.29	$361.63	$3,119.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $37.65 / $120.55 / $120.55	Facility	52	$37.65	$120.55	$120.55
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $15.06 / $48.22 / $48.22	Facility	53	$15.06	$48.22	$48.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.29 / $241.09 / $938.00	Professional		$75.29	$241.09	$938.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $37.65 / $120.55 / $175.83	Professional	52	$37.65	$120.55	$175.83
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $15.06 / $48.22 / $226.41	Professional	53	$15.06	$48.22	$226.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $887.79 / $2,131.19 / $4,587.10	Facility		$887.79	$2,131.19	$4,587.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.12 / $346.40 / $818.16	Professional		$144.12	$346.40	$818.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.42 / $859.99 / $2,068.83	Facility		$606.42	$859.99	$2,068.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.43 / $411.65 / $961.68	Professional		$189.43	$411.65	$961.68
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $492.98 / $786.24 / $1,629.00	Facility		$492.98	$786.24	$1,629.00
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $165.87 / $372.69 / $822.50	Professional		$165.87	$372.69	$822.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $127.24 / $353.50 / $2,208.19	Facility		$127.24	$353.50	$2,208.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $248.48 / $593.79 / $911.97	Professional		$248.48	$593.79	$911.97
United Facility/Professional Facility Modifier Low / Median / High Price $976.00 / $1,947.00 / $4,195.00	Facility		$976.00	$1,947.00	$4,195.00
United Facility/Professional Professional Modifier Low / Median / High Price $248.48 / $513.24 / $859.51	Professional		$248.48	$513.24	$859.51