Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.60 / $463.97 / $2,168.00	Facility		$415.60	$463.97	$2,168.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $311.70 / $347.98 / $347.98	Facility	54	$311.70	$347.98	$347.98
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,145.73 / $1,625.63 / $3,910.66	Facility		$1,145.73	$1,625.63	$3,910.66
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $489.81 / $489.81 / $489.81	Facility	54	$489.81	$489.81	$489.81
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,041.57 / $1,486.21 / $3,079.26	Facility		$1,041.57	$1,486.21	$3,079.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $414.12 / $733.38 / $1,275.59	Facility		$414.12	$733.38	$1,275.59
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,347.91 / $1,347.91 / $1,347.91	Facility	54	$1,347.91	$1,347.91	$1,347.91
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