Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $664.70 / $664.70 / $6,781.00	Facility		$664.70	$664.70	$6,781.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $498.53 / $498.53 / $498.53	Facility	54	$498.53	$498.53	$498.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.55 / $804.72 / $1,145.07	Professional		$442.55	$804.72	$1,145.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,045.28 / $7,705.83 / $15,031.63	Facility		$4,045.28	$7,705.83	$15,031.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,045.42 / $1,394.53 / $2,259.56	Professional		$1,045.42	$1,394.53	$2,259.56
BCBS Facility/Professional Professional Modifier 55 Low / Median / High Price $207.48 / $273.14 / $435.06	Professional	55	$207.48	$273.14	$435.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,550.65 / $2,200.15 / $5,292.76	Facility		$1,550.65	$2,200.15	$5,292.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,111.04 / $1,728.25 / $2,720.35	Professional		$1,111.04	$1,728.25	$2,720.35
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,261.22 / $2,011.46 / $4,167.53	Facility		$1,261.22	$2,011.46	$4,167.53
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $909.81 / $1,465.62 / $2,494.71	Professional		$909.81	$1,465.62	$2,494.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $713.35 / $1,278.08 / $10,421.57	Facility		$713.35	$1,278.08	$10,421.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,014.43 / $1,709.73 / $3,816.99	Professional		$1,014.43	$1,709.73	$3,816.99
United Facility/Professional Facility Modifier Low / Median / High Price $3,940.00 / $8,689.00 / $11,531.00	Facility		$3,940.00	$8,689.00	$11,531.00
United Facility/Professional Professional Modifier Low / Median / High Price $966.12 / $1,642.40 / $3,526.34	Professional		$966.12	$1,642.40	$3,526.34