Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.20 / $396.82 / $2,168.00	Facility		$392.20	$396.82	$2,168.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $294.14 / $297.62 / $297.62	Facility	54	$294.14	$297.62	$297.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.06 / $402.30 / $622.94	Professional		$381.06	$402.30	$622.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.86 / $778.05 / $2,613.48	Facility		$330.86	$778.05	$2,613.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $693.56 / $1,119.48 / $1,423.09	Professional		$693.56	$1,119.48	$1,423.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $968.95 / $1,374.79 / $3,307.25	Facility		$968.95	$1,374.79	$3,307.25
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $466.14 / $466.14 / $466.14	Facility	54	$466.14	$466.14	$466.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $726.32 / $1,184.03 / $1,718.35	Professional		$726.32	$1,184.03	$1,718.35
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $880.86 / $1,256.89 / $2,604.14	Facility		$880.86	$1,256.89	$2,604.14
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $657.59 / $1,034.45 / $1,575.83	Professional		$657.59	$1,034.45	$1,575.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $375.62 / $670.14 / $1,088.04	Facility		$375.62	$670.14	$1,088.04
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,275.83 / $1,275.83 / $1,275.83	Facility	54	$1,275.83	$1,275.83	$1,275.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $424.03 / $808.21 / $2,911.84	Professional		$424.03	$808.21	$2,911.84
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 $415.96 / $748.05 / $1,528.13	Professional		$415.96	$748.05	$1,528.13