Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.42 / $1,986.71 / $3,497.67	Facility		$343.42	$1,986.71	$3,497.67
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $88.53 / $171.71 / $171.71	Facility	52	$88.53	$171.71	$171.71
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $35.40 / $88.59 / $171.59	Facility	53	$35.40	$88.59	$171.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.21 / $297.87 / $931.57	Professional		$175.21	$297.87	$931.57
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $35.40 / $78.78 / $174.80	Professional	53	$35.40	$78.78	$174.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $926.93 / $1,936.49 / $3,585.17	Facility		$926.93	$1,936.49	$3,585.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.85 / $618.95 / $1,160.66	Professional		$330.85	$618.95	$1,160.66
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 / $301.75 / $475.77	Professional		$197.71	$301.75	$475.77
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $41.90 / $144.02 / $268.16	Professional	53	$41.90	$144.02	$268.16
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $667.18 / $1,096.54 / $2,276.08	Facility		$667.18	$1,096.54	$2,276.08
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $195.75 / $266.22 / $374.63	Professional		$195.75	$266.22	$374.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $273.19 / $585.97 / $2,167.60	Facility		$273.19	$585.97	$2,167.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $374.35 / $717.68 / $1,435.66	Professional		$374.35	$717.68	$1,435.66
Medica Facility/Professional Professional Modifier 53 Low / Median / High Price $88.55 / $284.76 / $302.26	Professional	53	$88.55	$284.76	$302.26
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 $373.56 / $817.03 / $1,316.89	Professional		$373.56	$817.03	$1,316.89
United Facility/Professional Professional Modifier 53 Low / Median / High Price $88.55 / $88.55 / $88.55	Professional	53	$88.55	$88.55	$88.55