Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $94.40 / $504.88	Facility		$56.10	$94.40	$504.88
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $28.05 / $47.20 / $47.20	Facility	52	$28.05	$47.20	$47.20
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $11.22 / $18.88 / $18.88	Facility	53	$11.22	$18.88	$18.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.28 / $112.43 / $464.55	Professional		$60.28	$112.43	$464.55
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $28.05 / $47.20 / $61.77	Professional	52	$28.05	$47.20	$61.77
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $11.22 / $18.88 / $24.78	Professional	53	$11.22	$18.88	$24.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.87 / $445.70 / $877.22	Facility		$257.87	$445.70	$877.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.97 / $210.44 / $358.97	Professional		$113.97	$210.44	$358.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.31 / $353.55 / $850.52	Facility		$249.31	$353.55	$850.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.94 / $252.58 / $418.67	Professional		$143.94	$252.58	$418.67
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $202.67 / $323.23 / $669.70	Facility		$202.67	$323.23	$669.70
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $128.04 / $211.70 / $393.52	Professional		$128.04	$211.70	$393.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.42 / $169.63 / $665.56	Facility		$104.42	$169.63	$665.56
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $58.65 / $58.65 / $58.65	Facility	52	$58.65	$58.65	$58.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $150.57 / $270.82 / $517.86	Professional		$150.57	$270.82	$517.86
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 $137.51 / $233.40 / $390.87	Professional		$137.51	$233.40	$390.87