Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.31 / $2,104.88 / $3,937.46	Facility		$343.31	$2,104.88	$3,937.46
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $88.48 / $171.66 / $171.66	Facility	52	$88.48	$171.66	$171.66
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $35.39 / $88.47 / $171.48	Facility	53	$35.39	$88.47	$171.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.10 / $294.62 / $947.06	Professional		$173.10	$294.62	$947.06
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $35.39 / $78.73 / $171.48	Professional	53	$35.39	$78.73	$171.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $925.22 / $1,936.49 / $3,585.17	Facility		$925.22	$1,936.49	$3,585.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.25 / $618.34 / $1,159.53	Professional		$330.25	$618.34	$1,159.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $769.89 / $1,201.59 / $2,890.62	Facility		$769.89	$1,201.59	$2,890.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.71 / $301.45 / $475.77	Professional		$197.71	$301.45	$475.77
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $41.90 / $143.54 / $267.63	Professional	53	$41.90	$143.54	$267.63
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $617.89 / $1,059.42 / $2,276.08	Facility		$617.89	$1,059.42	$2,276.08
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $195.75 / $317.48 / $374.63	Professional		$195.75	$317.48	$374.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $254.13 / $556.10 / $2,119.26	Facility		$254.13	$556.10	$2,119.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $373.56 / $716.92 / $1,432.62	Professional		$373.56	$716.92	$1,432.62
Medica Facility/Professional Professional Modifier 53 Low / Median / High Price $88.55 / $88.55 / $88.55	Professional	53	$88.55	$88.55	$88.55
United Facility/Professional Facility Modifier Low / Median / High Price $478.00 / $2,872.00 / $4,241.00	Facility		$478.00	$2,872.00	$4,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $356.80 / $665.96 / $1,310.86	Professional		$356.80	$665.96	$1,310.86
United Facility/Professional Professional Modifier 53 Low / Median / High Price $88.55 / $88.55 / $88.55	Professional	53	$88.55	$88.55	$88.55