Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.45 / $323.08 / $2,168.00	Facility		$302.45	$323.08	$2,168.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $226.84 / $242.31 / $242.31	Facility	54	$226.84	$242.31	$242.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.45 / $344.09 / $538.92	Professional		$302.45	$344.09	$538.92
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 $552.34 / $868.94 / $1,132.04	Professional		$552.34	$868.94	$1,132.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $795.53 / $1,128.74 / $2,715.34	Facility		$795.53	$1,128.74	$2,715.34
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $349.05 / $349.05 / $349.05	Facility	54	$349.05	$349.05	$349.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $576.17 / $944.93 / $1,406.47	Professional		$576.17	$944.93	$1,406.47
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $723.21 / $1,031.94 / $2,138.06	Facility		$723.21	$1,031.94	$2,138.06
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $540.91 / $821.30 / $1,287.46	Professional		$540.91	$821.30	$1,287.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $323.08 / $525.17 / $887.49	Facility		$323.08	$525.17	$887.49
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $970.65 / $970.65 / $970.65	Facility	54	$970.65	$970.65	$970.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $345.38 / $653.08 / $2,219.04	Professional		$345.38	$653.08	$2,219.04
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 $345.38 / $569.20 / $1,146.03	Professional		$345.38	$569.20	$1,146.03