Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.91 / $330.43 / $2,085.00	Facility		$316.91	$330.43	$2,085.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $237.68 / $247.82 / $247.82	Facility	54	$237.68	$247.82	$247.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.51 / $328.42 / $532.41	Professional		$275.51	$328.42	$532.41
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 $561.20 / $902.84 / $1,155.50	Professional		$561.20	$902.84	$1,155.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $805.63 / $1,143.07 / $2,749.82	Facility		$805.63	$1,143.07	$2,749.82
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $370.13 / $370.13 / $370.13	Facility	54	$370.13	$370.13	$370.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $584.30 / $961.12 / $1,429.74	Professional		$584.30	$961.12	$1,429.74
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $732.39 / $1,045.04 / $2,165.21	Facility		$732.39	$1,045.04	$2,165.21
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $547.14 / $852.65 / $1,306.32	Professional		$547.14	$852.65	$1,306.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $325.85 / $558.42 / $899.58	Facility		$325.85	$558.42	$899.58
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,021.52 / $1,021.52 / $1,021.52	Facility	54	$1,021.52	$1,021.52	$1,021.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $340.77 / $657.56 / $2,332.71	Professional		$340.77	$657.56	$2,332.71
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 $340.77 / $644.74 / $1,269.08	Professional		$340.77	$644.74	$1,269.08