Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.76 / $495.08 / $2,168.00	Facility		$484.76	$495.08	$2,168.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $363.57 / $371.31 / $371.31	Facility	54	$363.57	$371.31	$371.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $470.60 / $495.08 / $775.44	Professional		$470.60	$495.08	$775.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $370.96 / $778.05 / $2,613.48	Facility		$370.96	$778.05	$2,613.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $861.88 / $1,381.32 / $1,774.13	Professional		$861.88	$1,381.32	$1,774.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,208.86 / $1,715.21 / $4,126.17	Facility		$1,208.86	$1,715.21	$4,126.17
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $573.02 / $573.02 / $573.02	Facility	54	$573.02	$573.02	$573.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $888.35 / $1,462.89 / $2,129.59	Professional		$888.35	$1,462.89	$2,129.59
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,098.97 / $1,568.11 / $3,248.95	Facility		$1,098.97	$1,568.11	$3,248.95
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $819.01 / $1,288.39 / $1,955.43	Professional		$819.01	$1,288.39	$1,955.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $484.76 / $819.24 / $1,353.60	Facility		$484.76	$819.24	$1,353.60
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,570.45 / $1,570.45 / $1,570.45	Facility	54	$1,570.45	$1,570.45	$1,570.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $526.34 / $983.01 / $3,596.48	Professional		$526.34	$983.01	$3,596.48
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 $516.32 / $1,000.67 / $1,921.46	Professional		$516.32	$1,000.67	$1,921.46