Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.76 / $34.76 / $40.84	Facility		$34.76	$34.76	$40.84
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $17.38 / $17.38 / $20.42	Facility	52	$17.38	$17.38	$20.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.67 / $40.08 / $99.90	Professional		$30.67	$40.08	$99.90
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.53 / $18.50 / $49.95	Professional	52	$15.53	$18.50	$49.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.24 / $28.24 / $28.24	Facility		$28.24	$28.24	$28.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.83 / $93.94 / $124.03	Professional		$50.83	$93.94	$124.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.42 / $104.38 / $131.25	Facility		$83.42	$104.38	$131.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.95 / $81.58 / $138.84	Professional		$36.95	$81.58	$138.84
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $83.42 / $103.34 / $216.81	Facility		$83.42	$103.34	$216.81
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $46.38 / $80.17 / $123.50	Professional		$46.38	$80.17	$123.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.32 / $37.06 / $72.05	Facility		$24.32	$37.06	$72.05
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $115.06 / $115.06 / $115.06	Facility	52	$115.06	$115.06	$115.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.07 / $103.78 / $180.90	Professional		$43.07	$103.78	$180.90
Medica Facility/Professional Professional Modifier 22 Low / Median / High Price $259.20 / $259.20 / $259.20	Professional	22	$259.20	$259.20	$259.20
Medica Facility/Professional Professional Modifier 52 Low / Median / High Price $38.79 / $59.78 / $156.81	Professional	52	$38.79	$59.78	$156.81
United Facility/Professional Professional Modifier Low / Median / High Price $33.13 / $58.38 / $122.02	Professional		$33.13	$58.38	$122.02