Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.30 / $238.64 / $1,340.00	Facility		$233.30	$238.64	$1,340.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $174.98 / $178.98 / $178.98	Facility	54	$174.98	$178.98	$178.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.84 / $233.30 / $397.13	Professional		$184.84	$233.30	$397.13
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 $414.29 / $659.77 / $846.68	Professional		$414.29	$659.77	$846.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $574.13 / $814.60 / $1,959.64	Facility		$574.13	$814.60	$1,959.64
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $183.20 / $183.20 / $183.20	Facility	54	$183.20	$183.20	$183.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.29 / $717.15 / $1,049.35	Professional		$432.29	$717.15	$1,049.35
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $521.92 / $744.74 / $1,543.03	Facility		$521.92	$744.74	$1,543.03
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $401.58 / $626.82 / $951.09	Professional		$401.58	$626.82	$951.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $221.93 / $403.30 / $664.74	Facility		$221.93	$403.30	$664.74
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $422.97 / $422.97 / $422.97	Facility	54	$422.97	$422.97	$422.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $244.06 / $475.02 / $1,718.32	Professional		$244.06	$475.02	$1,718.32
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 $240.69 / $442.72 / $854.96	Professional		$240.69	$442.72	$854.96