Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.92 / $368.89 / $2,042.00	Facility		$326.92	$368.89	$2,042.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $245.19 / $276.67 / $276.67	Facility	54	$245.19	$276.67	$276.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.51 / $368.89 / $567.66	Professional		$288.51	$368.89	$567.66
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 $599.37 / $952.71 / $1,297.45	Professional		$599.37	$952.71	$1,297.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $910.02 / $1,291.18 / $3,106.12	Facility		$910.02	$1,291.18	$3,106.12
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $379.78 / $379.78 / $379.78	Facility	54	$379.78	$379.78	$379.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $625.95 / $1,043.61 / $1,594.51	Professional		$625.95	$1,043.61	$1,594.51
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $827.29 / $1,180.45 / $2,445.76	Facility		$827.29	$1,180.45	$2,445.76
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $617.94 / $920.69 / $1,431.30	Professional		$617.94	$920.69	$1,431.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $312.77 / $578.64 / $961.72	Facility		$312.77	$578.64	$961.72
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,053.30 / $1,053.30 / $1,053.30	Facility	54	$1,053.30	$1,053.30	$1,053.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $370.87 / $702.06 / $2,411.04	Professional		$370.87	$702.06	$2,411.04
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 $393.81 / $753.08 / $1,341.95	Professional		$393.81	$753.08	$1,341.95