Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $602.56 / $1,023.29	Facility		$309.03	$602.56	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $346.74 / $758.58	Professional		$263.03	$346.74	$758.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $870.96 / $2,137.96	Facility		$363.08	$870.96	$2,137.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $776.25 / $1,202.26	Professional		$524.81	$776.25	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,258.93 / $3,019.95	Facility		$891.25	$1,258.93	$3,019.95
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $416.87 / $416.87 / $416.87	Facility	52	$416.87	$416.87	$416.87
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $363.08 / $363.08 / $363.08	Facility	54	$363.08	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $977.24 / $1,513.56	Professional		$588.84	$977.24	$1,513.56
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,202.26 / $2,398.83	Facility		$977.24	$1,202.26	$2,398.83
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $870.96 / $1,380.38	Professional		$616.60	$870.96	$1,380.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $549.54 / $977.24	Facility		$269.15	$549.54	$977.24
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $338.84 / $338.84 / $338.84	Facility	54	$338.84	$338.84	$338.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $645.65 / $2,290.87	Professional		$323.59	$645.65	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,819.70 / $3,467.37	Facility		$602.56	$1,819.70	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $562.34 / $1,122.02	Professional		$302.00	$562.34	$1,122.02