Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.09 / $547.24 / $2,091.51	Facility		$497.09	$547.24	$2,091.51
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $372.82 / $410.43 / $410.43	Facility	54	$372.82	$410.43	$410.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.06 / $543.21 / $856.11	Professional		$455.06	$543.21	$856.11
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
BCBS Facility/Professional Professional Modifier Low / Median / High Price $916.55 / $1,457.15 / $1,941.48	Professional		$916.55	$1,457.15	$1,941.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,335.98 / $1,895.57 / $4,560.05	Facility		$1,335.98	$1,895.57	$4,560.05
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $589.41 / $589.41 / $589.41	Facility	54	$589.41	$589.41	$589.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.80 / $1,557.16 / $2,336.96	Professional		$933.80	$1,557.16	$2,336.96
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,214.53 / $1,733.00 / $3,590.59	Facility		$1,214.53	$1,733.00	$3,590.59
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $905.67 / $1,364.75 / $2,097.75	Professional		$905.67	$1,364.75	$2,097.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $539.48 / $879.21 / $1,499.82	Facility		$539.48	$879.21	$1,499.82
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,610.71 / $1,610.71 / $1,610.71	Facility	54	$1,610.71	$1,610.71	$1,610.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $584.33 / $1,106.26 / $3,687.60	Professional		$584.33	$1,106.26	$3,687.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,388.00 / $3,500.00 / $6,361.00	Facility		$1,388.00	$3,500.00	$6,361.00
United Facility/Professional Professional Modifier Low / Median / High Price $584.33 / $1,091.30 / $2,105.80	Professional		$584.33	$1,091.30	$2,105.80