Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.30 / $236.76 / $2,970.00	Facility		$83.30	$236.76	$2,970.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.26 / $214.34 / $655.93	Professional		$82.26	$214.34	$655.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $379.78 / $1,168.49 / $2,457.60	Facility		$379.78	$1,168.49	$2,457.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.55 / $355.77 / $755.57	Professional		$166.55	$355.77	$755.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $558.98 / $793.10 / $1,907.92	Facility		$558.98	$793.10	$1,907.92
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $116.06 / $116.06 / $116.06	Facility	52	$116.06	$116.06	$116.06
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.01 / $29.01 / $29.01	Facility	53	$29.01	$29.01	$29.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.49 / $356.61 / $876.90	Professional		$147.49	$356.61	$876.90
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $508.16 / $723.76 / $1,502.30	Facility		$508.16	$723.76	$1,502.30
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $146.03 / $350.99 / $756.08	Professional		$146.03	$350.99	$756.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $99.14 / $272.66 / $1,408.90	Facility		$99.14	$272.66	$1,408.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $293.77 / $555.48 / $1,463.50	Professional		$293.77	$555.48	$1,463.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $2,872.00 / $4,241.00	Facility		$1,755.00	$2,872.00	$4,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $267.06 / $499.74 / $1,001.03	Professional		$267.06	$499.74	$1,001.03