Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.55 / $2,385.87 / $2,525.00	Facility		$404.55	$2,385.87	$2,525.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $80.91 / $477.17 / $477.17	Facility	53	$80.91	$477.17	$477.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.36 / $593.07 / $3,099.42	Professional		$383.36	$593.07	$3,099.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,894.75 / $11,660.74 / $24,304.92	Facility		$1,894.75	$11,660.74	$24,304.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $819.49 / $2,898.07 / $7,771.90	Professional		$819.49	$2,898.07	$7,771.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,828.83 / $8,270.27 / $19,895.25	Facility		$5,828.83	$8,270.27	$19,895.25
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $141.10 / $141.10 / $141.10	Facility	53	$141.10	$141.10	$141.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $883.20 / $2,688.23 / $9,290.31	Professional		$883.20	$2,688.23	$9,290.31
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $4,740.85 / $7,561.01 / $15,665.55	Facility		$4,740.85	$7,561.01	$15,665.55
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $874.46 / $2,812.80 / $7,667.78	Professional		$874.46	$2,812.80	$7,667.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $526.19 / $1,244.03 / $6,465.81	Facility		$526.19	$1,244.03	$6,465.81
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $377.84 / $377.84 / $377.84	Facility	53	$377.84	$377.84	$377.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,738.49 / $3,686.34 / $8,468.69	Professional		$1,738.49	$3,686.34	$8,468.69
United Facility/Professional Facility Modifier Low / Median / High Price $5,457.00 / $9,370.00 / $12,774.00	Facility		$5,457.00	$9,370.00	$12,774.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,738.49 / $3,023.81 / $7,329.26	Professional		$1,738.49	$3,023.81	$7,329.26