Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.32 / $314.26 / $2,168.00	Facility		$299.32	$314.26	$2,168.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $224.49 / $235.70 / $235.70	Facility	54	$224.49	$235.70	$235.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.18 / $305.05 / $471.71	Professional		$257.18	$305.05	$471.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $306.48 / $778.05 / $2,440.53	Facility		$306.48	$778.05	$2,440.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $544.30 / $864.05 / $1,117.96	Professional		$544.30	$864.05	$1,117.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $767.75 / $1,089.32 / $2,620.52	Facility		$767.75	$1,089.32	$2,620.52
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $354.25 / $354.25 / $354.25	Facility	54	$354.25	$354.25	$354.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $548.03 / $909.31 / $1,343.13	Professional		$548.03	$909.31	$1,343.13
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $697.95 / $995.90 / $2,063.40	Facility		$697.95	$995.90	$2,063.40
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $520.52 / $799.44 / $1,242.76	Professional		$520.52	$799.44	$1,242.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $299.32 / $512.84 / $850.56	Facility		$299.32	$512.84	$850.56
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $972.78 / $972.78 / $972.78	Facility	54	$972.78	$972.78	$972.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $329.73 / $615.71 / $2,216.40	Professional		$329.73	$615.71	$2,216.40
United Facility/Professional Facility Modifier Low / Median / High Price $382.00 / $1,727.00 / $2,883.00	Facility		$382.00	$1,727.00	$2,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $329.73 / $580.86 / $1,176.91	Professional		$329.73	$580.86	$1,176.91