Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.62 / $399.83 / $2,168.00	Facility		$364.62	$399.83	$2,168.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $273.47 / $299.87 / $299.87	Facility	54	$273.47	$299.87	$299.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.75 / $399.64 / $618.28	Professional		$321.75	$399.64	$618.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.68 / $778.05 / $2,613.48	Facility		$308.68	$778.05	$2,613.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $668.12 / $1,060.54 / $1,407.72	Professional		$668.12	$1,060.54	$1,407.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $982.42 / $1,393.91 / $3,353.23	Facility		$982.42	$1,393.91	$3,353.23
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $424.84 / $424.84 / $424.84	Facility	54	$424.84	$424.84	$424.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $699.22 / $1,152.13 / $1,724.86	Professional		$699.22	$1,152.13	$1,724.86
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $893.11 / $1,274.35 / $2,640.34	Facility		$893.11	$1,274.35	$2,640.34
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $668.35 / $995.80 / $1,548.06	Professional		$668.35	$995.80	$1,548.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $331.00 / $625.48 / $1,049.51	Facility		$331.00	$625.48	$1,049.51
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,174.11 / $1,174.11 / $1,174.11	Facility	54	$1,174.11	$1,174.11	$1,174.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $413.26 / $786.76 / $2,688.88	Professional		$413.26	$786.76	$2,688.88
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 $411.43 / $746.66 / $1,435.84	Professional		$411.43	$746.66	$1,435.84