Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.40 / $378.35 / $2,112.00	Facility		$347.40	$378.35	$2,112.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $260.55 / $283.76 / $283.76	Facility	54	$260.55	$283.76	$283.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.51 / $355.50 / $584.37	Professional		$293.51	$355.50	$584.37
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 $637.36 / $1,011.32 / $1,334.99	Professional		$637.36	$1,011.32	$1,334.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $932.75 / $1,323.43 / $3,183.70	Facility		$932.75	$1,323.43	$3,183.70
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $404.69 / $404.69 / $404.69	Facility	54	$404.69	$404.69	$404.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.51 / $1,099.61 / $1,646.24	Professional		$660.51	$1,099.61	$1,646.24
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $847.95 / $1,209.94 / $2,506.85	Facility		$847.95	$1,209.94	$2,506.85
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $634.37 / $952.22 / $1,475.90	Professional		$634.37	$952.22	$1,475.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $331.98 / $597.55 / $995.94	Facility		$331.98	$597.55	$995.94
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,120.06 / $1,120.06 / $1,120.06	Facility	54	$1,120.06	$1,120.06	$1,120.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $389.77 / $740.55 / $2,563.67	Professional		$389.77	$740.55	$2,563.67
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 $389.77 / $727.53 / $1,390.64	Professional		$389.77	$727.53	$1,390.64