Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $602.56 / $1,288.25	Facility		$281.84	$602.56	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $436.52 / $870.96	Professional		$269.15	$436.52	$870.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $812.83 / $1,047.13 / $1,047.13	Professional	50	$812.83	$1,047.13	$1,047.13
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $239.88 / $436.52 / $794.33	Professional	54	$239.88	$436.52	$794.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $870.96 / $2,290.87	Facility		$363.08	$870.96	$2,290.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $812.83 / $1,258.93	Professional		$537.03	$812.83	$1,258.93
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $812.83 / $1,202.26 / $1,862.09	Professional	50	$812.83	$1,202.26	$1,862.09
BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $426.58 / $630.96 / $977.24	Professional	54	$426.58	$630.96	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,318.26 / $3,162.28	Facility		$933.25	$1,318.26	$3,162.28
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $389.05 / $389.05 / $389.05	Facility	54	$389.05	$389.05	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,071.52 / $1,584.89	Professional		$616.60	$1,071.52	$1,584.89
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $2,454.71	Facility		$1,023.29	$1,258.93	$2,454.71
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $933.25 / $1,445.44	Professional		$630.96	$933.25	$1,445.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $575.44 / $1,071.52	Facility		$309.03	$575.44	$1,071.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $741.31 / $2,511.89	Professional		$346.74	$741.31	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,819.70 / $3,467.37	Facility		$602.56	$1,819.70	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $602.56 / $1,174.90	Professional		$309.03	$602.56	$1,174.90