Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.08 / $258.29 / $2,042.00	Facility		$239.08	$258.29	$2,042.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $179.31 / $193.72 / $193.72	Facility	54	$179.31	$193.72	$193.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.80 / $252.93 / $398.05	Professional		$209.80	$252.93	$398.05
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 $434.17 / $685.79 / $903.29	Professional		$434.17	$685.79	$903.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $638.11 / $905.38 / $2,178.02	Facility		$638.11	$905.38	$2,178.02
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $275.81 / $275.81 / $275.81	Facility	54	$275.81	$275.81	$275.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $452.90 / $755.95 / $1,118.16	Professional		$452.90	$755.95	$1,118.16
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $580.10 / $827.74 / $1,714.98	Facility		$580.10	$827.74	$1,714.98
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $432.73 / $649.54 / $1,002.30	Professional		$432.73	$649.54	$1,002.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $244.54 / $423.17 / $703.32	Facility		$244.54	$423.17	$703.32
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $764.03 / $764.03 / $764.03	Facility	54	$764.03	$764.03	$764.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $273.99 / $524.75 / $1,761.60	Professional		$273.99	$524.75	$1,761.60
United Facility/Professional Facility Modifier Low / Median / High Price $382.00 / $1,438.00 / $2,883.00	Facility		$382.00	$1,438.00	$2,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $273.99 / $473.25 / $935.57	Professional		$273.99	$473.25	$935.57