Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.06 / $340.41 / $1,178.95	Facility		$272.06	$340.41	$1,178.95
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $255.31 / $267.58 / $267.58	Facility	54	$255.31	$267.58	$267.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.69 / $355.99 / $876.85	Professional		$241.69	$355.99	$876.85
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $776.78 / $776.78 / $776.78	Professional	50	$776.78	$776.78	$776.78
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $240.89 / $267.58 / $465.98	Professional	54	$240.89	$267.58	$465.98
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 $608.91 / $966.60 / $1,248.18	Professional		$608.91	$966.60	$1,248.18
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $886.29 / $1,384.37 / $1,872.27	Professional	50	$886.29	$1,384.37	$1,872.27
BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $482.11 / $737.30 / $998.54	Professional	54	$482.11	$737.30	$998.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $878.87 / $1,246.99 / $2,999.80	Facility		$878.87	$1,246.99	$2,999.80
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $392.49 / $392.49 / $392.49	Facility	54	$392.49	$392.49	$392.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.25 / $1,046.84 / $1,546.28	Professional		$636.25	$1,046.84	$1,546.28
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $798.97 / $1,140.05 / $2,362.05	Facility		$798.97	$1,140.05	$2,362.05
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $599.25 / $923.65 / $1,430.73	Professional		$599.25	$923.65	$1,430.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $320.83 / $586.26 / $992.29	Facility		$320.83	$586.26	$992.29
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,094.65 / $1,094.65 / $1,094.65	Facility	54	$1,094.65	$1,094.65	$1,094.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $367.23 / $719.90 / $2,494.40	Professional		$367.23	$719.90	$2,494.40
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 $360.37 / $619.65 / $1,253.30	Professional		$360.37	$619.65	$1,253.30