Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.66 / $126.37 / $2,042.00	Facility		$125.66	$126.37	$2,042.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $94.25 / $94.78 / $94.78	Facility	54	$94.25	$94.78	$94.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.60 / $125.66 / $216.00	Professional		$108.60	$125.66	$216.00
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $90.49 / $94.78 / $146.01	Professional	54	$90.49	$94.78	$146.01
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 $229.13 / $362.71 / $457.86	Professional		$229.13	$362.71	$457.86
BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $183.29 / $284.81 / $352.87	Professional	54	$183.29	$284.81	$352.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.16 / $444.33 / $1,068.90	Facility		$313.16	$444.33	$1,068.90
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $94.65 / $94.65 / $94.65	Facility	54	$94.65	$94.65	$94.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.29 / $380.67 / $556.50	Professional		$227.29	$380.67	$556.50
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $284.69 / $406.22 / $841.65	Facility		$284.69	$406.22	$841.65
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $212.97 / $342.84 / $510.34	Professional		$212.97	$342.84	$510.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.48 / $218.75 / $563.00	Facility		$125.48	$218.75	$563.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $229.42 / $229.42 / $229.42	Facility	54	$229.42	$229.42	$229.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $137.75 / $250.52 / $928.72	Professional		$137.75	$250.52	$928.72
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 $137.75 / $234.59 / $469.41	Professional		$137.75	$234.59	$469.41