Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.84 / $69.08 / $69.08	Facility		$40.84	$69.08	$69.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.84 / $69.08 / $263.14	Professional		$40.84	$69.08	$263.14
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $20.42 / $34.54 / $45.22	Professional	52	$20.42	$34.54	$45.22
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $8.17 / $13.82 / $18.09	Professional	53	$8.17	$13.82	$18.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.98 / $445.70 / $877.22	Facility		$258.98	$445.70	$877.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.22 / $152.66 / $262.77	Professional		$83.22	$152.66	$262.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.77 / $259.19 / $623.52	Facility		$182.77	$259.19	$623.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.53 / $185.60 / $312.54	Professional		$105.53	$185.60	$312.54
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $148.58 / $236.96 / $490.96	Facility		$148.58	$236.96	$490.96
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $93.85 / $157.13 / $292.10	Professional		$93.85	$157.13	$292.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.02 / $110.93 / $521.16	Facility		$69.02	$110.93	$521.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.30 / $189.76 / $362.79	Professional		$102.30	$189.76	$362.79
United Facility/Professional Facility Modifier Low / Median / High Price $563.00 / $1,749.00 / $2,883.00	Facility		$563.00	$1,749.00	$2,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.05 / $160.79 / $273.83	Professional		$99.05	$160.79	$273.83