Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $746.22 / $746.22 / $2,525.00	Facility		$746.22	$746.22	$2,525.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $559.66 / $559.66 / $559.66	Facility	54	$559.66	$559.66	$559.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,269.41 / $3,046.07 / $5,941.90	Facility		$1,269.41	$3,046.07	$5,941.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,804.88 / $2,560.87 / $6,160.52	Facility		$1,804.88	$2,560.87	$6,160.52
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $596.32 / $596.32 / $596.32	Facility	54	$596.32	$596.32	$596.32
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,640.80 / $2,341.25 / $4,850.80	Facility		$1,640.80	$2,341.25	$4,850.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $769.71 / $1,275.36 / $3,307.00	Facility		$769.71	$1,275.36	$3,307.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,345.34 / $1,345.34 / $1,345.34	Facility	54	$1,345.34	$1,345.34	$1,345.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,388.00 / $4,146.01 / $6,361.00	Facility		$1,388.00	$4,146.01	$6,361.00