Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.68 / $519.58 / $2,168.00	Facility		$462.68	$519.58	$2,168.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $347.01 / $389.69 / $389.69	Facility	54	$347.01	$389.69	$389.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.04 / $517.71 / $746.91	Professional		$420.04	$517.71	$746.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,269.41 / $3,046.07 / $5,941.90	Facility		$1,269.41	$3,046.07	$5,941.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.42 / $1,357.01 / $1,841.77	Professional		$851.42	$1,357.01	$1,841.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,274.53 / $1,808.37 / $4,350.29	Facility		$1,274.53	$1,808.37	$4,350.29
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $545.19 / $545.19 / $545.19	Facility	54	$545.19	$545.19	$545.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.46 / $1,451.24 / $2,208.28	Professional		$876.46	$1,451.24	$2,208.28
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,158.66 / $1,653.29 / $3,425.43	Facility		$1,158.66	$1,653.29	$3,425.43
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $863.76 / $1,286.95 / $2,000.67	Professional		$863.76	$1,286.95	$2,000.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $469.39 / $810.30 / $1,401.60	Facility		$469.39	$810.30	$1,401.60
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,496.25 / $1,496.25 / $1,496.25	Facility	54	$1,496.25	$1,496.25	$1,496.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $543.40 / $1,015.24 / $3,425.20	Professional		$543.40	$1,015.24	$3,425.20
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 $539.36 / $888.44 / $1,888.95	Professional		$539.36	$888.44	$1,888.95