Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.11 / $346.03 / $1,982.00	Facility		$310.11	$346.03	$1,982.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $232.58 / $259.52 / $259.52	Facility	54	$232.58	$259.52	$259.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.07 / $323.30 / $533.71	Professional		$266.07	$323.30	$533.71
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 $567.41 / $898.42 / $1,212.99	Professional		$567.41	$898.42	$1,212.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $850.25 / $1,206.38 / $2,902.11	Facility		$850.25	$1,206.38	$2,902.11
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $360.25 / $360.25 / $360.25	Facility	54	$360.25	$360.25	$360.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $584.86 / $994.06 / $1,487.82	Professional		$584.86	$994.06	$1,487.82
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $772.95 / $1,102.92 / $2,285.13	Facility		$772.95	$1,102.92	$2,285.13
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $576.60 / $864.70 / $1,335.53	Professional		$576.60	$864.70	$1,335.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $307.14 / $546.62 / $912.27	Facility		$307.14	$546.62	$912.27
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $997.15 / $997.15 / $997.15	Facility	54	$997.15	$997.15	$997.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $349.59 / $673.44 / $2,280.16	Professional		$349.59	$673.44	$2,280.16
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 $349.23 / $634.96 / $1,262.14	Professional		$349.23	$634.96	$1,262.14