Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.65 / $133.93 / $213.43	Facility		$15.65	$133.93	$213.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $21.46 / $65.00	Professional		$12.49	$21.46	$65.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $20.58 / $54.74 / $115.43	Professional	50	$20.58	$54.74	$115.43
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $7.13 / $7.83 / $12.21	Professional	52	$7.13	$7.83	$12.21
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $2.85 / $3.13 / $4.88	Professional	53	$2.85	$3.13	$4.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.16 / $134.61 / $225.08	Facility		$79.16	$134.61	$225.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.15 / $41.05 / $58.45	Professional		$26.15	$41.05	$58.45
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $37.49 / $59.97 / $84.47	Professional	50	$37.49	$59.97	$84.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.43 / $57.33 / $137.91	Facility		$40.43	$57.33	$137.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.95 / $55.28 / $79.18	Professional		$31.95	$55.28	$79.18
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $32.86 / $52.42 / $108.60	Facility		$32.86	$52.42	$108.60
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $48.14 / $63.79	Professional		$28.13	$48.14	$63.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.83 / $51.15 / $1,438.00	Facility		$22.83	$51.15	$1,438.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.03 / $37.46 / $80.09	Professional		$18.03	$37.46	$80.09
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $109.35 / $109.35 / $114.75	Professional	50	$109.35	$109.35	$114.75
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 $18.86 / $33.90 / $57.76	Professional		$18.86	$33.90	$57.76