Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.77 / $1,594.12 / $4,468.25	Facility		$278.77	$1,594.12	$4,468.25
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $391.15 / $415.69 / $415.69	Facility	54	$391.15	$415.69	$415.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $509.79 / $586.66 / $2,142.91	Professional		$509.79	$586.66	$2,142.91
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
BCBS Facility/Professional Professional Modifier Low / Median / High Price $950.41 / $1,513.32 / $1,967.29	Professional		$950.41	$1,513.32	$1,967.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,355.35 / $1,923.04 / $4,626.13	Facility		$1,355.35	$1,923.04	$4,626.13
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $615.99 / $615.99 / $615.99	Facility	54	$615.99	$615.99	$615.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $981.29 / $1,600.47 / $2,402.13	Professional		$981.29	$1,600.47	$2,402.13
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,232.13 / $1,758.12 / $3,642.63	Facility		$1,232.13	$1,758.12	$3,642.63
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $919.27 / $1,392.17 / $2,166.59	Professional		$919.27	$1,392.17	$2,166.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $448.85 / $891.79 / $1,809.28	Facility		$448.85	$891.79	$1,809.28
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $217.11 / $428.05 / $1,688.06	Facility	54	$217.11	$428.05	$1,688.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $618.51 / $1,147.52 / $3,865.12	Professional		$618.51	$1,147.52	$3,865.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,187.00 / $2,872.00 / $4,241.00	Facility		$1,187.00	$2,872.00	$4,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $587.10 / $1,014.09 / $2,107.62	Professional		$587.10	$1,014.09	$2,107.62