Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.05 / $349.25 / $1,907.00	Facility		$330.05	$349.25	$1,907.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $247.54 / $261.94 / $261.94	Facility	54	$247.54	$261.94	$261.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.88 / $336.55 / $563.45	Professional		$273.88	$336.55	$563.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $306.48 / $778.05 / $2,613.48	Facility		$306.48	$778.05	$2,613.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $599.41 / $944.92 / $1,225.89	Professional		$599.41	$944.92	$1,225.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $859.51 / $1,219.52 / $2,933.72	Facility		$859.51	$1,219.52	$2,933.72
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $383.12 / $383.12 / $383.12	Facility	54	$383.12	$383.12	$383.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $629.83 / $1,023.10 / $1,511.21	Professional		$629.83	$1,023.10	$1,511.21
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $781.37 / $1,114.93 / $2,310.01	Facility		$781.37	$1,114.93	$2,310.01
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $585.66 / $892.82 / $1,398.28	Professional		$585.66	$892.82	$1,398.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $325.57 / $568.85 / $959.52	Facility		$325.57	$568.85	$959.52
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,063.92 / $1,063.92 / $1,063.92	Facility	54	$1,063.92	$1,063.92	$1,063.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $358.10 / $709.38 / $2,426.88	Professional		$358.10	$709.38	$2,426.88
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 $358.10 / $643.83 / $1,244.83	Professional		$358.10	$643.83	$1,244.83