Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.53 / $1,661.54 / $2,269.55	Facility		$247.53	$1,661.54	$2,269.55
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $19.28 / $52.90 / $52.90	Facility	53	$19.28	$52.90	$52.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.28 / $227.44 / $700.20	Professional		$93.28	$227.44	$700.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $846.21 / $1,395.04 / $2,457.60	Facility		$846.21	$1,395.04	$2,457.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.15 / $415.78 / $883.02	Professional		$192.15	$415.78	$883.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $654.10 / $928.08 / $2,232.61	Facility		$654.10	$928.08	$2,232.61
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $33.71 / $33.71 / $33.71	Facility	53	$33.71	$33.71	$33.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.62 / $462.10 / $1,095.23	Professional		$211.62	$462.10	$1,095.23
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $532.01 / $848.48 / $1,757.96	Facility		$532.01	$848.48	$1,757.96
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $209.52 / $414.29 / $891.53	Professional		$209.52	$414.29	$891.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $153.50 / $532.19 / $1,968.12	Facility		$153.50	$532.19	$1,968.12
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $89.92 / $89.92 / $89.92	Facility	53	$89.92	$89.92	$89.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $271.49 / $515.91 / $1,049.90	Professional		$271.49	$515.91	$1,049.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,187.00 / $2,872.00 / $4,241.00	Facility		$1,187.00	$2,872.00	$4,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $271.49 / $468.94 / $986.15	Professional		$271.49	$468.94	$986.15