Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.27 / $148.41 / $2,042.00	Facility		$130.27	$148.41	$2,042.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $97.70 / $111.31 / $111.31	Facility	54	$97.70	$111.31	$111.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.48 / $148.41 / $227.42	Professional		$122.48	$148.41	$227.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $306.48 / $778.05 / $2,440.53	Facility		$306.48	$778.05	$2,440.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.97 / $374.31 / $516.16	Professional		$236.97	$374.31	$516.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $367.88 / $521.97 / $1,255.66	Facility		$367.88	$521.97	$1,255.66
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $149.84 / $149.84 / $149.84	Facility	54	$149.84	$149.84	$149.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.42 / $423.76 / $647.45	Professional		$253.42	$423.76	$647.45
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $334.44 / $477.20 / $988.71	Facility		$334.44	$477.20	$988.71
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $250.92 / $373.85 / $581.17	Professional		$250.92	$373.85	$581.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $130.01 / $243.39 / $429.51	Facility		$130.01	$243.39	$429.51
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $416.44 / $416.44 / $416.44	Facility	54	$416.44	$416.44	$416.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $161.57 / $294.76 / $955.84	Professional		$161.57	$294.76	$955.84
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 $161.57 / $280.02 / $541.97	Professional		$161.57	$280.02	$541.97