Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.75 / $356.36 / $2,384.00	Facility		$314.75	$356.36	$2,384.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $236.06 / $267.27 / $267.27	Facility	54	$236.06	$267.27	$267.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.31 / $344.00 / $552.48	Professional		$276.31	$344.00	$552.48
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 $580.67 / $921.76 / $1,256.39	Professional		$580.67	$921.76	$1,256.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $874.66 / $1,241.02 / $2,985.44	Facility		$874.66	$1,241.02	$2,985.44
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $370.70 / $370.70 / $370.70	Facility	54	$370.70	$370.70	$370.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $601.24 / $1,015.75 / $1,536.05	Professional		$601.24	$1,015.75	$1,536.05
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $795.15 / $1,134.58 / $2,350.73	Facility		$795.15	$1,134.58	$2,350.73
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $595.29 / $886.94 / $1,378.82	Professional		$595.29	$886.94	$1,378.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $314.45 / $556.41 / $925.91	Facility		$314.45	$556.41	$925.91
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,020.47 / $1,020.47 / $1,020.47	Facility	54	$1,020.47	$1,020.47	$1,020.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $374.77 / $700.88 / $2,331.84	Professional		$374.77	$700.88	$2,331.84
United Facility/Professional Facility Modifier Low / Median / High Price $382.00 / $1,438.00 / $2,883.00	Facility		$382.00	$1,438.00	$2,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $364.86 / $675.53 / $1,318.93	Professional		$364.86	$675.53	$1,318.93