Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.82 / $343.38 / $2,168.00	Facility		$307.82	$343.38	$2,168.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $153.91 / $171.69 / $171.69	Facility	52	$153.91	$171.69	$171.69
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $230.87 / $257.54 / $257.54	Facility	54	$230.87	$257.54	$257.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.44 / $343.24 / $534.09	Professional		$267.44	$343.24	$534.09
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 $573.44 / $907.10 / $1,222.36	Professional		$573.44	$907.10	$1,222.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $846.88 / $1,201.59 / $2,890.62	Facility		$846.88	$1,201.59	$2,890.62
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $419.02 / $419.02 / $419.02	Facility	52	$419.02	$419.02	$419.02
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $366.64 / $366.64 / $366.64	Facility	54	$366.64	$366.64	$366.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.41 / $998.27 / $1,492.21	Professional		$588.41	$998.27	$1,492.21
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $769.89 / $1,098.55 / $2,276.08	Facility		$769.89	$1,098.55	$2,276.08
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $578.29 / $865.65 / $1,339.46	Professional		$578.29	$865.65	$1,339.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $280.54 / $544.58 / $907.64	Facility		$280.54	$544.58	$907.64
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $1,151.73 / $1,151.73 / $1,151.73	Facility	52	$1,151.73	$1,151.73	$1,151.73
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $338.09 / $338.09 / $1,007.76	Facility	54	$338.09	$338.09	$1,007.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $341.26 / $661.18 / $2,296.32	Professional		$341.26	$661.18	$2,296.32
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 $341.24 / $616.79 / $1,241.83	Professional		$341.24	$616.79	$1,241.83