Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $585.82 / $585.82 / $2,525.00	Facility		$585.82	$585.82	$2,525.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $292.91 / $292.91 / $292.91	Facility	52	$292.91	$292.91	$292.91
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $439.37 / $439.37 / $439.37	Facility	54	$439.37	$439.37	$439.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.76 / $3,584.58 / $6,499.58	Facility		$2,088.76	$3,584.58	$6,499.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,421.85 / $2,017.40 / $4,853.13	Facility		$1,421.85	$2,017.40	$4,853.13
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $530.59 / $530.59 / $530.59	Facility	52	$530.59	$530.59	$530.59
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $464.27 / $464.27 / $464.27	Facility	54	$464.27	$464.27	$464.27
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,292.58 / $1,844.39 / $3,821.36	Facility		$1,292.58	$1,844.39	$3,821.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $593.78 / $996.30 / $3,210.30	Facility		$593.78	$996.30	$3,210.30
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $1,200.66 / $1,200.66 / $1,200.66	Facility	52	$1,200.66	$1,200.66	$1,200.66
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,050.58 / $1,050.58 / $1,050.58	Facility	54	$1,050.58	$1,050.58	$1,050.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,388.00 / $3,500.00 / $6,361.00	Facility		$1,388.00	$3,500.00	$6,361.00