Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.83 / $316.83 / $890.79	Facility		$300.83	$316.83	$890.79
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $225.63 / $237.63 / $237.63	Facility	54	$225.63	$237.63	$237.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.16 / $307.26 / $518.67	Professional		$245.16	$307.26	$518.67
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $211.47 / $237.63 / $606.70	Professional	54	$211.47	$237.63	$606.70
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 $538.89 / $856.32 / $1,110.93	Professional		$538.89	$856.32	$1,110.93
BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $426.50 / $653.29 / $888.74	Professional	54	$426.50	$653.29	$888.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $781.22 / $1,108.44 / $2,666.49	Facility		$781.22	$1,108.44	$2,666.49
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $348.39 / $348.39 / $348.39	Facility	54	$348.39	$348.39	$348.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.09 / $930.09 / $1,373.83	Professional		$575.09	$930.09	$1,373.83
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $710.20 / $1,013.38 / $2,099.60	Facility		$710.20	$1,013.38	$2,099.60
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $532.41 / $817.05 / $1,235.09	Professional		$532.41	$817.05	$1,235.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $263.04 / $521.64 / $868.62	Facility		$263.04	$521.64	$868.62
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $969.60 / $969.60 / $969.60	Facility	54	$969.60	$969.60	$969.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $321.27 / $638.05 / $2,210.48	Professional		$321.27	$638.05	$2,210.48
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 $321.27 / $601.55 / $1,184.08	Professional		$321.27	$601.55	$1,184.08