Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.87 / $362.25 / $2,168.00	Facility		$334.87	$362.25	$2,168.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $251.15 / $271.69 / $271.69	Facility	54	$251.15	$271.69	$271.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.17 / $347.60 / $560.32	Professional		$288.17	$347.60	$560.32
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 $613.50 / $968.69 / $1,276.33	Professional		$613.50	$968.69	$1,276.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $890.66 / $1,263.71 / $3,040.03	Facility		$890.66	$1,263.71	$3,040.03
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $390.20 / $390.20 / $390.20	Facility	54	$390.20	$390.20	$390.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $632.90 / $1,044.72 / $1,563.82	Professional		$632.90	$1,044.72	$1,563.82
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $809.69 / $1,155.33 / $2,393.73	Facility		$809.69	$1,155.33	$2,393.73
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $606.04 / $920.20 / $1,421.24	Professional		$606.04	$920.20	$1,421.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.08 / $578.40 / $981.00	Facility		$346.08	$578.40	$981.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,078.76 / $1,078.76 / $1,078.76	Facility	54	$1,078.76	$1,078.76	$1,078.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $376.96 / $715.37 / $2,471.84	Professional		$376.96	$715.37	$2,471.84
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 $393.42 / $757.70 / $1,340.60	Professional		$393.42	$757.70	$1,340.60