Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.42 / $277.70 / $1,580.00	Facility		$257.42	$277.70	$1,580.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $193.07 / $208.28 / $208.28	Facility	54	$193.07	$208.28	$208.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.47 / $267.07 / $448.31	Professional		$215.47	$267.07	$448.31
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 $472.88 / $745.93 / $974.85	Professional		$472.88	$745.93	$974.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $685.25 / $972.27 / $2,338.92	Facility		$685.25	$972.27	$2,338.92
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $300.10 / $300.10 / $300.10	Facility	54	$300.10	$300.10	$300.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.69 / $802.44 / $1,204.29	Professional		$490.69	$802.44	$1,204.29
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $622.95 / $888.89 / $1,841.68	Facility		$622.95	$888.89	$1,841.68
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $466.71 / $703.28 / $1,101.89	Professional		$466.71	$703.28	$1,101.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $458.45 / $757.29	Facility		$255.00	$458.45	$757.29
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $833.97 / $833.97 / $833.97	Facility	54	$833.97	$833.97	$833.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $285.63 / $561.54 / $1,896.00	Professional		$285.63	$561.54	$1,896.00
United Facility/Professional Facility Modifier Low / Median / High Price $382.00 / $1,438.00 / $2,883.00	Facility		$382.00	$1,438.00	$2,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $284.58 / $515.50 / $989.26	Professional		$284.58	$515.50	$989.26