Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $319.25 / $347.35 / $2,042.00	Facility		$319.25	$347.35	$2,042.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $239.44 / $260.51 / $260.51	Facility	54	$239.44	$260.51	$260.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.68 / $334.83 / $536.50	Professional		$276.68	$334.83	$536.50
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 $587.32 / $927.11 / $1,223.54	Professional		$587.32	$927.11	$1,223.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $858.67 / $1,218.32 / $2,930.84	Facility		$858.67	$1,218.32	$2,930.84
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $373.20 / $373.20 / $373.20	Facility	54	$373.20	$373.20	$373.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.62 / $1,016.02 / $1,521.08	Professional		$616.62	$1,016.02	$1,521.08
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $780.61 / $1,113.83 / $2,307.75	Facility		$780.61	$1,113.83	$2,307.75
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $584.52 / $877.41 / $1,363.70	Professional		$584.52	$877.41	$1,363.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $309.17 / $552.11 / $920.19	Facility		$309.17	$552.11	$920.19
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,032.09 / $1,032.09 / $1,032.09	Facility	54	$1,032.09	$1,032.09	$1,032.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.68 / $692.48 / $2,362.32	Professional		$363.68	$692.48	$2,362.32
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 $362.27 / $628.17 / $1,259.32	Professional		$362.27	$628.17	$1,259.32