Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.94 / $253.12 / $2,042.00	Facility		$244.94	$253.12	$2,042.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $183.71 / $189.84 / $189.84	Facility	54	$183.71	$189.84	$189.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $244.94 / $391.43	Professional		$210.00	$244.94	$391.43
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 $439.26 / $698.64 / $893.90	Professional		$439.26	$698.64	$893.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $601.91 / $854.02 / $2,054.46	Facility		$601.91	$854.02	$2,054.46
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $192.34 / $192.34 / $192.34	Facility	54	$192.34	$192.34	$192.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $454.57 / $761.34 / $1,113.00	Professional		$454.57	$761.34	$1,113.00
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $547.19 / $780.78 / $1,617.69	Facility		$547.19	$780.78	$1,617.69
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $425.93 / $662.77 / $1,003.87	Professional		$425.93	$662.77	$1,003.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $242.13 / $422.28 / $703.80	Facility		$242.13	$422.28	$703.80
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $443.97 / $443.97 / $443.97	Facility	54	$443.97	$443.97	$443.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.50 / $473.46 / $1,803.84	Professional		$251.50	$473.46	$1,803.84
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 $251.50 / $431.34 / $905.00	Professional		$251.50	$431.34	$905.00