Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.03 / $745.34 / $2,168.00	Facility		$642.03	$745.34	$2,168.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $481.52 / $559.01 / $559.01	Facility	54	$481.52	$559.01	$559.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.96 / $716.12 / $1,208.83	Professional		$517.96	$716.12	$1,208.83
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $481.52 / $559.01 / $1,112.29	Professional	54	$481.52	$559.01	$1,112.29
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $96.30 / $111.80 / $222.46	Professional	55	$96.30	$111.80	$222.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,306.80 / $2,064.03 / $3,597.94	Facility		$1,306.80	$2,064.03	$3,597.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $984.40 / $1,417.85 / $2,404.14	Professional		$984.40	$1,417.85	$2,404.14
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,445.52 / $2,038.65 / $3,328.82	Professional	50	$1,445.52	$2,038.65	$3,328.82
BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $807.84 / $1,132.78 / $1,792.44	Professional	54	$807.84	$1,132.78	$1,792.44
BCBS Facility/Professional Professional Modifier 55 Low / Median / High Price $193.75 / $279.77 / $461.38	Professional	55	$193.75	$279.77	$461.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,735.01 / $2,461.73 / $5,922.03	Facility		$1,735.01	$2,461.73	$5,922.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,075.98 / $1,781.50 / $3,020.61	Professional		$1,075.98	$1,781.50	$3,020.61
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,411.17 / $2,250.61 / $4,663.01	Facility		$1,411.17	$2,250.61	$4,663.01
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,010.32 / $1,602.00 / $2,773.57	Professional		$1,010.32	$1,602.00	$2,773.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $650.02 / $1,131.15 / $2,296.00	Facility		$650.02	$1,131.15	$2,296.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $735.53 / $1,295.93 / $4,491.92	Professional		$735.53	$1,295.93	$4,491.92
Medica Facility/Professional Professional Modifier 55 Low / Median / High Price $665.55 / $665.55 / $665.55	Professional	55	$665.55	$665.55	$665.55
United Facility/Professional Facility Modifier Low / Median / High Price $2,296.00 / $3,500.00 / $6,361.00	Facility		$2,296.00	$3,500.00	$6,361.00
United Facility/Professional Professional Modifier Low / Median / High Price $751.91 / $1,214.16 / $2,556.83	Professional		$751.91	$1,214.16	$2,556.83