Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.52 / $421.52 / $2,168.00	Facility		$421.52	$421.52	$2,168.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $210.76 / $210.76 / $210.76	Facility	52	$210.76	$210.76	$210.76
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $316.14 / $316.14 / $316.14	Facility	54	$316.14	$316.14	$316.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $356.49 / $778.05 / $2,613.48	Facility		$356.49	$778.05	$2,613.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,033.77 / $1,466.77 / $3,528.50	Facility		$1,033.77	$1,466.77	$3,528.50
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $384.75 / $384.75 / $384.75	Facility	52	$384.75	$384.75	$384.75
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $336.66 / $336.66 / $336.66	Facility	54	$336.66	$336.66	$336.66
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $939.79 / $1,340.98 / $2,778.35	Facility		$939.79	$1,340.98	$2,778.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $712.37 / $1,203.93	Facility		$408.00	$712.37	$1,203.93
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $874.77 / $874.77 / $874.77	Facility	52	$874.77	$874.77	$874.77
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $765.42 / $765.42 / $765.42	Facility	54	$765.42	$765.42	$765.42
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