Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.97 / $171.38 / $2,042.00	Facility		$148.97	$171.38	$2,042.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $111.73 / $128.54 / $128.54	Facility	54	$111.73	$128.54	$128.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.94 / $162.19 / $263.77	Professional		$131.94	$162.19	$263.77
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 $270.14 / $430.41 / $598.28	Professional		$270.14	$430.41	$598.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.97 / $604.38 / $1,453.93	Facility		$425.97	$604.38	$1,453.93
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $171.92 / $171.92 / $171.92	Facility	54	$171.92	$171.92	$171.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.63 / $487.85 / $745.37	Professional		$292.63	$487.85	$745.37
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $387.24 / $552.54 / $1,144.83	Facility		$387.24	$552.54	$1,144.83
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $285.94 / $430.39 / $669.08	Professional		$285.94	$430.39	$669.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $157.87 / $289.63 / $504.16	Facility		$157.87	$289.63	$504.16
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $474.73 / $474.73 / $474.73	Facility	54	$474.73	$474.73	$474.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.46 / $331.26 / $1,105.20	Professional		$180.46	$331.26	$1,105.20
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 $180.46 / $328.10 / $629.57	Professional		$180.46	$328.10	$629.57