Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.56 / $504.89 / $2,168.00	Facility		$446.56	$504.89	$2,168.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $334.92 / $378.67 / $378.67	Facility	54	$334.92	$378.67	$378.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.75 / $504.89 / $788.99	Professional		$413.75	$504.89	$788.99
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 $828.51 / $1,318.33 / $1,796.02	Professional		$828.51	$1,318.33	$1,796.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,237.49 / $1,755.82 / $4,223.85	Facility		$1,237.49	$1,755.82	$4,223.85
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $532.91 / $532.91 / $532.91	Facility	54	$532.91	$532.91	$532.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $852.64 / $1,433.53 / $2,171.81	Professional		$852.64	$1,433.53	$2,171.81
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,124.99 / $1,605.24 / $3,325.88	Facility		$1,124.99	$1,605.24	$3,325.88
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $841.67 / $1,254.04 / $1,949.50	Professional		$841.67	$1,254.04	$1,949.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $491.85 / $816.60 / $1,485.25	Facility		$491.85	$816.60	$1,485.25
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $401.28 / $401.28 / $1,455.99	Facility	54	$401.28	$401.28	$1,455.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $530.13 / $990.09 / $3,328.56	Professional		$530.13	$990.09	$3,328.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,187.00 / $2,872.00 / $4,241.00	Facility		$1,187.00	$2,872.00	$4,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $524.91 / $960.61 / $1,910.50	Professional		$524.91	$960.61	$1,910.50