Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.71 / $227.93 / $2,042.00	Facility		$213.71	$227.93	$2,042.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $160.28 / $170.95 / $170.95	Facility	54	$160.28	$170.95	$170.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.40 / $220.35 / $475.90	Professional		$178.40	$220.35	$475.90
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $154.58 / $170.95 / $263.10	Professional	54	$154.58	$170.95	$263.10
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 $381.62 / $610.38 / $794.19	Professional		$381.62	$610.38	$794.19
BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $304.77 / $463.58 / $635.35	Professional	54	$304.77	$463.58	$635.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $797.88 / $1,919.41	Facility		$562.34	$797.88	$1,919.41
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $245.76 / $245.76 / $245.76	Facility	54	$245.76	$245.76	$245.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.74 / $668.61 / $982.14	Professional		$406.74	$668.61	$982.14
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $511.22 / $729.46 / $1,511.35	Facility		$511.22	$729.46	$1,511.35
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $380.62 / $577.87 / $908.75	Professional		$380.62	$577.87	$908.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $213.71 / $385.20 / $630.98	Facility		$213.71	$385.20	$630.98
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $681.37 / $681.37 / $681.37	Facility	54	$681.37	$681.37	$681.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $248.51 / $472.36 / $1,574.88	Professional		$248.51	$472.36	$1,574.88
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 $237.33 / $436.02 / $828.42	Professional		$237.33	$436.02	$828.42