Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $887.15 / $887.15 / $3,119.00	Facility		$887.15	$887.15	$3,119.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $665.36 / $665.36 / $665.36	Facility	54	$665.36	$665.36	$665.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.42 / $887.15 / $1,438.53	Professional		$577.42	$887.15	$1,438.53
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $133.07 / $145.74 / $266.37	Professional	55	$133.07	$145.74	$266.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,452.86 / $7,077.37 / $15,031.63	Facility		$3,452.86	$7,077.37	$15,031.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,277.30 / $1,726.88 / $2,878.79	Professional		$1,277.30	$1,726.88	$2,878.79
BCBS Facility/Professional Professional Modifier 55 Low / Median / High Price $252.91 / $344.77 / $559.05	Professional	55	$252.91	$344.77	$559.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,055.75 / $2,916.81 / $7,016.78	Facility		$2,055.75	$2,916.81	$7,016.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,383.82 / $2,271.23 / $3,580.26	Professional		$1,383.82	$2,271.23	$3,580.26
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,672.04 / $2,666.66 / $5,525.03	Facility		$1,672.04	$2,666.66	$5,525.03
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,197.41 / $1,928.91 / $3,283.31	Professional		$1,197.41	$1,928.91	$3,283.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $883.29 / $1,499.28 / $6,740.00	Facility		$883.29	$1,499.28	$6,740.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $818.00 / $1,425.92 / $3,183.93	Professional		$818.00	$1,425.92	$3,183.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,735.00 / $4,974.00 / $8,812.00	Facility		$2,735.00	$4,974.00	$8,812.00
United Facility/Professional Professional Modifier Low / Median / High Price $818.00 / $1,354.63 / $3,183.93	Professional		$818.00	$1,354.63	$3,183.93