Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.81 / $1,288.36 / $2,714.12	Facility		$162.81	$1,288.36	$2,714.12
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,288.36 / $2,612.42 / $4,399.00	Facility	50	$1,288.36	$2,612.42	$4,399.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $21.71 / $50.24 / $50.24	Facility	53	$21.71	$50.24	$50.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.17 / $237.80 / $1,456.81	Professional		$100.17	$237.80	$1,456.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $147.60 / $442.75 / $2,185.21	Professional	50	$147.60	$442.75	$2,185.21
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $21.71 / $43.99 / $70.34	Professional	53	$21.71	$43.99	$70.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $511.36 / $1,585.78 / $3,239.20	Facility		$511.36	$1,585.78	$3,239.20
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,078.36 / $3,153.33 / $5,529.09	Facility	50	$2,078.36	$3,153.33	$5,529.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.38 / $409.78 / $842.05	Professional		$213.38	$409.78	$842.05
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $317.88 / $584.21 / $1,263.08	Professional	50	$317.88	$584.21	$1,263.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $622.95 / $883.88 / $2,126.30	Facility		$622.95	$883.88	$2,126.30
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $37.61 / $37.61 / $37.61	Facility	53	$37.61	$37.61	$37.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.80 / $482.47 / $1,036.08	Professional		$238.80	$482.47	$1,036.08
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $506.68 / $808.08 / $1,674.25	Facility		$506.68	$808.08	$1,674.25
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $236.44 / $439.50 / $853.07	Professional		$236.44	$439.50	$853.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.26 / $473.48 / $2,211.30	Facility		$147.26	$473.48	$2,211.30
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,275.00 / $2,385.33 / $3,622.05	Facility	50	$1,275.00	$2,385.33	$3,622.05
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $100.82 / $100.82 / $100.82	Facility	53	$100.82	$100.82	$100.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $252.56 / $476.29 / $1,052.00	Professional		$252.56	$476.29	$1,052.00
Medica Facility/Professional Professional Modifier 53 Low / Median / High Price $415.77 / $415.77 / $415.77	Professional	53	$415.77	$415.77	$415.77
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 $253.72 / $423.34 / $910.40	Professional		$253.72	$423.34	$910.40