Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,454.71 / $3,981.07	Facility		$912.01	$2,454.71	$3,981.07
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $87.10 / $169.82 / $169.82	Facility	53	$87.10	$169.82	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $309.03 / $977.24	Professional		$169.82	$309.03	$977.24
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $70.79 / $128.82 / $239.88	Professional	53	$70.79	$128.82	$239.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,019.95 / $3,548.13	Facility		$1,513.56	$3,019.95	$3,548.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $562.34 / $1,047.13	Professional		$295.12	$562.34	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,258.93 / $3,019.95	Facility		$776.25	$1,258.93	$3,019.95
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $446.68 / $446.68 / $446.68	Facility	22	$446.68	$446.68	$446.68
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $295.12 / $295.12 / $295.12	Facility	52	$295.12	$295.12	$295.12
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $74.13 / $74.13 / $74.13	Facility	53	$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $302.00 / $478.63	Professional		$199.53	$302.00	$478.63
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $41.69 / $147.91 / $269.15	Professional	53	$41.69	$147.91	$269.15
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,202.26 / $2,398.83	Facility		$977.24	$1,202.26	$2,398.83
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $371.54 / $398.11	Professional		$194.98	$371.54	$398.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $616.60 / $2,187.76	Facility		$229.09	$616.60	$2,187.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $602.56 / $2,041.74	Professional		$331.13	$602.56	$2,041.74
Medica Facility/Professional Professional Modifier 53 Low / Median / High Price $89.13 / $89.13 / $89.13	Professional	53	$89.13	$89.13	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,238.72 / $4,265.80	Facility		$602.56	$2,238.72	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $446.68 / $977.24	Professional		$213.80	$446.68	$977.24
United Facility/Professional Professional Modifier 53 Low / Median / High Price $41.69 / $41.69 / $89.13	Professional	53	$41.69	$41.69	$89.13