Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $489.78 / $1,258.93	Facility		$125.89	$489.78	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $288.40	Professional		$107.15	$138.04	$288.40
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $114.82 / $165.96 / $316.23	Professional	54	$114.82	$165.96	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $870.96 / $2,137.96	Facility		$363.08	$870.96	$2,137.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $288.40 / $457.09	Professional		$199.53	$288.40	$457.09
BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $158.49 / $229.09 / $346.74	Professional	54	$158.49	$229.09	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $467.74 / $1,122.02	Facility		$331.13	$467.74	$1,122.02
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $144.54 / $144.54 / $144.54	Facility	54	$144.54	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $380.19 / $562.34	Professional		$213.80	$380.19	$562.34
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $457.09 / $870.96	Facility		$363.08	$457.09	$870.96
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $316.23 / $512.86	Professional		$239.88	$316.23	$512.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $245.47 / $616.60	Facility		$123.03	$245.47	$616.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $251.19 / $933.25	Professional		$120.23	$251.19	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,819.70 / $3,467.37	Facility		$602.56	$1,819.70	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $218.78 / $416.87	Professional		$117.49	$218.78	$416.87