Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.98 / $198.76 / $278.77	Facility		$196.98	$198.76	$278.77
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $147.74 / $149.07 / $149.07	Facility	54	$147.74	$149.07	$149.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.06 / $196.98 / $307.08	Professional		$163.06	$196.98	$307.08
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 $346.18 / $557.88 / $715.21	Professional		$346.18	$557.88	$715.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $486.58 / $690.38 / $1,660.81	Facility		$486.58	$690.38	$1,660.81
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $154.76 / $154.76 / $154.76	Facility	54	$154.76	$154.76	$154.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.63 / $604.88 / $880.63	Professional		$370.63	$604.88	$880.63
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $442.34 / $631.17 / $1,307.73	Facility		$442.34	$631.17	$1,307.73
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $337.01 / $529.20 / $807.59	Professional		$337.01	$529.20	$807.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.03 / $345.04 / $578.40	Facility		$190.03	$345.04	$578.40
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $359.03 / $359.03 / $359.03	Facility	54	$359.03	$359.03	$359.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $200.64 / $392.16 / $1,452.64	Professional		$200.64	$392.16	$1,452.64
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 $197.76 / $362.24 / $700.80	Professional		$197.76	$362.24	$700.80