Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.88 / $319.70 / $2,042.00	Facility		$295.88	$319.70	$2,042.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $221.91 / $239.78 / $239.78	Facility	54	$221.91	$239.78	$239.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.39 / $319.70 / $500.40	Professional		$266.39	$319.70	$500.40
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 $544.37 / $856.89 / $1,125.00	Professional		$544.37	$856.89	$1,125.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $785.43 / $1,114.41 / $2,680.86	Facility		$785.43	$1,114.41	$2,680.86
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $346.72 / $346.72 / $346.72	Facility	54	$346.72	$346.72	$346.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $567.69 / $936.03 / $1,400.13	Professional		$567.69	$936.03	$1,400.13
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $714.02 / $1,018.84 / $2,110.91	Facility		$714.02	$1,018.84	$2,110.91
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $535.80 / $807.28 / $1,261.56	Professional		$535.80	$807.28	$1,261.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $286.70 / $520.16 / $850.32	Facility		$286.70	$520.16	$850.32
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $957.94 / $957.94 / $957.94	Facility	54	$957.94	$957.94	$957.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $332.11 / $632.90 / $2,183.12	Professional		$332.11	$632.90	$2,183.12
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 $328.81 / $593.41 / $1,186.39	Professional		$328.81	$593.41	$1,186.39