Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.73 / $439.54 / $2,168.00	Facility		$394.73	$439.54	$2,168.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $296.05 / $329.66 / $329.66	Facility	54	$296.05	$329.66	$329.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.96 / $439.54 / $684.14	Professional		$382.96	$439.54	$684.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $332.88 / $778.05 / $2,613.48	Facility		$332.88	$778.05	$2,613.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $726.00 / $1,153.18 / $1,552.01	Professional		$726.00	$1,153.18	$1,552.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,075.85 / $1,526.49 / $3,672.17	Facility		$1,075.85	$1,526.49	$3,672.17
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $465.03 / $465.03 / $465.03	Facility	54	$465.03	$465.03	$465.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $744.09 / $1,241.17 / $1,878.95	Professional		$744.09	$1,241.17	$1,878.95
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $978.05 / $1,395.58 / $2,891.48	Facility		$978.05	$1,395.58	$2,891.48
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $731.22 / $1,096.74 / $1,693.68	Professional		$731.22	$1,096.74	$1,693.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $383.31 / $684.14 / $1,156.20	Facility		$383.31	$684.14	$1,156.20
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,275.83 / $1,275.83 / $1,275.83	Facility	54	$1,275.83	$1,275.83	$1,275.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $462.68 / $864.11 / $2,924.56	Professional		$462.68	$864.11	$2,924.56
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 $484.72 / $916.55 / $1,651.71	Professional		$484.72	$916.55	$1,651.71