Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.59 / $169.59 / $2,168.00	Facility		$169.59	$169.59	$2,168.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $127.19 / $127.19 / $127.19	Facility	54	$127.19	$127.19	$127.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $306.48 / $778.05 / $2,613.48	Facility		$306.48	$778.05	$2,613.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.45 / $578.11 / $1,390.71	Facility		$407.45	$578.11	$1,390.71
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $140.13 / $140.13 / $140.13	Facility	54	$140.13	$140.13	$140.13
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $370.41 / $528.53 / $1,095.05	Facility		$370.41	$528.53	$1,095.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $183.88 / $352.94 / $651.03	Facility		$183.88	$352.94	$651.03
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $445.65 / $445.65 / $445.65	Facility	54	$445.65	$445.65	$445.65
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