Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.76 / $250.77 / $2,042.00	Facility		$218.76	$250.77	$2,042.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $164.07 / $188.08 / $188.08	Facility	54	$164.07	$188.08	$188.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.06 / $250.77 / $386.32	Professional		$201.06	$250.77	$386.32
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 $399.18 / $633.53 / $875.13	Professional		$399.18	$633.53	$875.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $617.05 / $875.52 / $2,106.17	Facility		$617.05	$875.52	$2,106.17
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $253.80 / $253.80 / $253.80	Facility	54	$253.80	$253.80	$253.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.76 / $698.60 / $1,075.56	Professional		$422.76	$698.60	$1,075.56
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $560.96 / $800.44 / $1,658.41	Facility		$560.96	$800.44	$1,658.41
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $416.67 / $623.64 / $969.50	Professional		$416.67	$623.64	$969.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $233.08 / $394.50 / $657.50	Facility		$233.08	$394.50	$657.50
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $701.49 / $701.49 / $701.49	Facility	54	$701.49	$701.49	$701.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $260.27 / $495.00 / $1,612.40	Professional		$260.27	$495.00	$1,612.40
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 $260.27 / $460.76 / $904.60	Professional		$260.27	$460.76	$904.60