Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.25 / $7,397.00 / $39,653.00	Facility		$954.25	$7,397.00	$39,653.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $190.85 / $190.85 / $190.85	Facility	53	$190.85	$190.85	$190.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $907.43 / $1,063.29 / $6,415.35	Professional		$907.43	$1,063.29	$6,415.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26,208.00 / $47,451.83 / $84,404.11	Facility		$26,208.00	$47,451.83	$84,404.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,353.62 / $2,188.42 / $3,371.81	Professional		$1,353.62	$2,188.42	$3,371.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,118.29 / $3,004.00 / $7,226.54	Facility		$2,118.29	$3,004.00	$7,226.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,714.46 / $2,757.71 / $4,136.16	Professional		$1,714.46	$2,757.71	$4,136.16
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,722.02 / $2,746.38 / $5,690.19	Facility		$1,722.02	$2,746.38	$5,690.19
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,509.42 / $2,388.59 / $3,278.60	Professional		$1,509.42	$2,388.59	$3,278.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,612.68 / $24,884.23 / $59,071.77	Facility		$1,612.68	$24,884.23	$59,071.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,392.63 / $2,391.67 / $4,726.12	Professional		$1,392.63	$2,391.67	$4,726.12
United Facility/Professional Facility Modifier Low / Median / High Price $6,276.00 / $12,506.00 / $25,695.00	Facility		$6,276.00	$12,506.00	$25,695.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,225.90 / $2,308.57 / $4,542.97	Professional		$1,225.90	$2,308.57	$4,542.97