Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.42 / $340.45 / $2,042.00	Facility		$313.42	$340.45	$2,042.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $235.07 / $255.34 / $255.34	Facility	54	$235.07	$255.34	$255.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.30 / $324.32 / $525.63	Professional		$266.30	$324.32	$525.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $306.48 / $778.05 / $2,613.48	Facility		$306.48	$778.05	$2,613.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $574.65 / $909.03 / $1,197.74	Professional		$574.65	$909.03	$1,197.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $837.62 / $1,188.46 / $2,859.01	Facility		$837.62	$1,188.46	$2,859.01
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $364.69 / $364.69 / $364.69	Facility	54	$364.69	$364.69	$364.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.17 / $992.44 / $1,483.06	Professional		$593.17	$992.44	$1,483.06
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $761.47 / $1,086.54 / $2,251.19	Facility		$761.47	$1,086.54	$2,251.19
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $570.36 / $849.81 / $1,332.05	Professional		$570.36	$849.81	$1,332.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $310.45 / $538.99 / $898.32	Facility		$310.45	$538.99	$898.32
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,009.86 / $1,009.86 / $1,009.86	Facility	54	$1,009.86	$1,009.86	$1,009.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $351.76 / $667.66 / $2,306.23	Professional		$351.76	$667.66	$2,306.23
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 $351.76 / $655.55 / $1,251.31	Professional		$351.76	$655.55	$1,251.31