Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $398.11 / $891.25	Facility		$302.00	$398.11	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $741.31	Professional		$251.19	$354.81	$741.31
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $323.59 / $575.44 / $794.33	Professional	54	$323.59	$575.44	$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 $478.63 / $724.44 / $1,122.02	Professional		$478.63	$724.44	$1,122.02
BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $380.19 / $562.34 / $870.96	Professional	54	$380.19	$562.34	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,174.90 / $2,818.38	Facility		$831.76	$1,174.90	$2,818.38
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $346.74 / $346.74 / $346.74	Facility	54	$346.74	$346.74	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $954.99 / $1,380.38	Professional		$549.54	$954.99	$1,380.38
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,122.02 / $2,187.76	Facility		$891.25	$1,122.02	$2,187.76
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $1,288.25	Professional		$575.44	$851.14	$1,288.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $524.81 / $870.96	Facility		$269.15	$524.81	$870.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $630.96 / $2,187.76	Professional		$295.12	$630.96	$2,187.76
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 $275.42 / $537.03 / $1,047.13	Professional		$275.42	$537.03	$1,047.13