Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $741.31 / $741.31	Facility		$645.65	$741.31	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $724.44 / $1,202.26	Professional		$524.81	$724.44	$1,202.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional	50	$1,445.44	$1,445.44	$1,445.44
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional	54	$1,288.25	$1,288.25	$1,288.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,290.87 / $4,466.84	Facility		$1,348.96	$2,290.87	$4,466.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,445.44 / $2,290.87	Professional		$977.24	$1,445.44	$2,290.87
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,412.54 / $2,137.96 / $3,311.31	Professional	50	$1,412.54	$2,137.96	$3,311.31
BCBS Facility/Professional Professional Modifier 54 Low / Median / High Price $741.31 / $1,122.02 / $1,778.28	Professional	54	$741.31	$1,122.02	$1,778.28
BCBS Facility/Professional Professional Modifier 55 Low / Median / High Price $186.21 / $281.84 / $446.68	Professional	55	$186.21	$281.84	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,570.40 / $6,165.95	Facility		$1,819.70	$2,570.40	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,905.46 / $3,090.30	Professional		$1,174.90	$1,905.46	$3,090.30
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,454.71 / $4,897.79	Facility		$1,995.26	$2,454.71	$4,897.79
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $2,754.23	Professional		$1,202.26	$1,737.80	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,122.02 / $2,089.30	Facility		$645.65	$1,122.02	$2,089.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,258.93 / $4,466.84	Professional		$676.08	$1,258.93	$4,466.84
Medica Facility/Professional Professional Modifier 55 Low / Median / High Price $660.69 / $660.69 / $660.69	Professional	55	$660.69	$660.69	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,467.37 / $6,456.54	Facility		$1,584.89	$3,467.37	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,148.15 / $2,290.87	Professional		$691.83	$1,148.15	$2,290.87