Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.66 / $473.66 / $2,168.00	Facility		$473.66	$473.66	$2,168.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $355.25 / $355.25 / $355.25	Facility	54	$355.25	$355.25	$355.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.00 / $482.15 / $743.43	Professional		$460.00	$482.15	$743.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,269.41 / $3,046.07 / $5,941.90	Facility		$1,269.41	$3,046.07	$5,941.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $837.50 / $1,337.98 / $1,688.09	Professional		$837.50	$1,337.98	$1,688.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,157.52 / $1,642.35 / $3,950.89	Facility		$1,157.52	$1,642.35	$3,950.89
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $375.54 / $375.54 / $375.54	Facility	54	$375.54	$375.54	$375.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $868.96 / $1,384.23 / $2,055.80	Professional		$868.96	$1,384.23	$2,055.80
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,052.29 / $1,501.50 / $3,110.94	Facility		$1,052.29	$1,501.50	$3,110.94
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $786.73 / $1,237.59 / $1,885.29	Professional		$786.73	$1,237.59	$1,885.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $473.66 / $808.61 / $1,438.00	Facility		$473.66	$808.61	$1,438.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $856.06 / $856.06 / $856.06	Facility	54	$856.06	$856.06	$856.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $497.37 / $901.02 / $1,846.70	Professional		$497.37	$901.02	$1,846.70
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 $497.37 / $946.93 / $1,810.00	Professional		$497.37	$946.93	$1,810.00