Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $581.02 / $581.02 / $5,618.00	Facility		$581.02	$581.02	$5,618.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $290.51 / $290.51 / $290.51	Facility	52	$290.51	$290.51	$290.51
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $116.20 / $116.20 / $116.20	Facility	53	$116.20	$116.20	$116.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.37 / $759.53 / $3,569.06	Professional		$530.37	$759.53	$3,569.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,088.66 / $22,802.40 / $44,489.13	Facility		$13,088.66	$22,802.40	$44,489.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $840.40 / $1,348.85 / $2,093.23	Professional		$840.40	$1,348.85	$2,093.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,308.88 / $1,856.15 / $4,465.22	Facility		$1,308.88	$1,856.15	$4,465.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,060.49 / $1,705.80 / $2,244.42	Professional		$1,060.49	$1,705.80	$2,244.42
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,064.02 / $1,696.97 / $3,515.93	Facility		$1,064.02	$1,696.97	$3,515.93
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $933.66 / $1,474.02 / $2,028.00	Professional		$933.66	$1,474.02	$2,028.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $932.92 / $5,577.00 / $26,282.73	Facility		$932.92	$5,577.00	$26,282.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $737.03 / $1,238.39 / $2,258.03	Professional		$737.03	$1,238.39	$2,258.03
United Facility/Professional Facility Modifier Low / Median / High Price $5,577.00 / $10,743.00 / $12,774.00	Facility		$5,577.00	$10,743.00	$12,774.00
United Facility/Professional Professional Modifier Low / Median / High Price $729.98 / $1,212.42 / $2,107.38	Professional		$729.98	$1,212.42	$2,107.38