Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $485.33 / $531.92 / $2,168.00	Facility		$485.33	$531.92	$2,168.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $364.00 / $398.95 / $398.95	Facility	54	$364.00	$398.95	$398.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.50 / $531.92 / $833.73	Professional		$447.50	$531.92	$833.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $370.96 / $778.05 / $2,613.48	Facility		$370.96	$778.05	$2,613.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $894.84 / $1,422.41 / $1,885.17	Professional		$894.84	$1,422.41	$1,885.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,294.73 / $1,837.04 / $4,419.25	Facility		$1,294.73	$1,837.04	$4,419.25
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $576.41 / $576.41 / $576.41	Facility	54	$576.41	$576.41	$576.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $909.97 / $1,514.36 / $2,267.17	Professional		$909.97	$1,514.36	$2,267.17
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,177.03 / $1,679.50 / $3,479.73	Facility		$1,177.03	$1,679.50	$3,479.73
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $878.49 / $1,323.78 / $2,034.78	Professional		$878.49	$1,323.78	$2,034.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $828.32 / $1,427.74	Facility		$520.00	$828.32	$1,427.74
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,572.54 / $1,572.54 / $1,572.54	Facility	54	$1,572.54	$1,572.54	$1,572.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $568.41 / $1,076.00 / $3,599.84	Professional		$568.41	$1,076.00	$3,599.84
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 $559.00 / $1,016.36 / $2,029.13	Professional		$559.00	$1,016.36	$2,029.13