Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.96 / $211.48 / $2,042.00	Facility		$197.96	$211.48	$2,042.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $148.47 / $158.61 / $158.61	Facility	54	$148.47	$158.61	$158.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.97 / $206.43 / $365.31	Professional		$163.97	$206.43	$365.31
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $141.16 / $158.61 / $244.12	Professional	54	$141.16	$158.61	$244.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $306.48 / $778.05 / $2,440.53	Facility		$306.48	$778.05	$2,440.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.36 / $571.69 / $744.92	Professional		$360.36	$571.69	$744.92
BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $285.67 / $433.82 / $595.94	Professional	54	$285.67	$433.82	$595.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $523.62 / $742.94 / $1,787.24	Facility		$523.62	$742.94	$1,787.24
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $230.60 / $230.60 / $230.60	Facility	54	$230.60	$230.60	$230.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.43 / $624.35 / $933.92	Professional		$381.43	$624.35	$933.92
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $476.02 / $679.22 / $1,407.28	Facility		$476.02	$679.22	$1,407.28
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $357.40 / $542.66 / $850.15	Professional		$357.40	$542.66	$850.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $192.53 / $357.40 / $591.28	Facility		$192.53	$357.40	$591.28
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $641.12 / $641.12 / $641.12	Facility	54	$641.12	$641.12	$641.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $216.84 / $424.88 / $1,461.60	Professional		$216.84	$424.88	$1,461.60
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 $217.72 / $400.57 / $769.05	Professional		$217.72	$400.57	$769.05