Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.95 / $250.15 / $2,168.00	Facility		$246.95	$250.15	$2,168.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $185.21 / $187.61 / $187.61	Facility	54	$185.21	$187.61	$187.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.78 / $246.95 / $387.22	Professional		$200.78	$246.95	$387.22
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 $431.46 / $696.42 / $885.29	Professional		$431.46	$696.42	$885.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $612.85 / $869.55 / $2,091.82	Facility		$612.85	$869.55	$2,091.82
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $286.50 / $286.50 / $286.50	Facility	54	$286.50	$286.50	$286.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $454.81 / $747.86 / $1,079.25	Professional		$454.81	$747.86	$1,079.25
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $557.14 / $794.98 / $1,647.10	Facility		$557.14	$794.98	$1,647.10
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $414.60 / $653.65 / $989.88	Professional		$414.60	$653.65	$989.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $244.43 / $422.75 / $686.11	Facility		$244.43	$422.75	$686.11
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $793.71 / $793.71 / $793.71	Facility	54	$793.71	$793.71	$793.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $247.94 / $476.16 / $1,818.64	Professional		$247.94	$476.16	$1,818.64
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 $264.79 / $513.88 / $902.30	Professional		$264.79	$513.88	$902.30