Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.98 / $324.01 / $2,042.00	Facility		$296.98	$324.01	$2,042.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $222.74 / $243.01 / $243.01	Facility	54	$222.74	$243.01	$243.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.13 / $311.95 / $499.68	Professional		$262.13	$311.95	$499.68
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 $544.50 / $859.65 / $1,136.73	Professional		$544.50	$859.65	$1,136.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $797.21 / $1,131.13 / $2,721.09	Facility		$797.21	$1,131.13	$2,721.09
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $345.26 / $345.26 / $345.26	Facility	54	$345.26	$345.26	$345.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $565.88 / $942.13 / $1,410.37	Professional		$565.88	$942.13	$1,410.37
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $724.74 / $1,032.23 / $2,142.59	Facility		$724.74	$1,032.23	$2,142.59
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $543.17 / $815.34 / $1,264.44	Professional		$543.17	$815.34	$1,264.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $293.64 / $525.77 / $852.69	Facility		$293.64	$525.77	$852.69
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $956.89 / $956.89 / $956.89	Facility	54	$956.89	$956.89	$956.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $334.24 / $633.54 / $2,186.08	Professional		$334.24	$633.54	$2,186.08
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 $332.24 / $577.32 / $1,159.20	Professional		$332.24	$577.32	$1,159.20