Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $897.76 / $897.76 / $6,575.00	Facility		$897.76	$897.76	$6,575.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $673.32 / $673.32 / $673.32	Facility	54	$673.32	$673.32	$673.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.25 / $897.76 / $1,455.80	Professional		$656.25	$897.76	$1,455.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.61 / $5,357.75 / $10,376.78	Facility		$3,028.61	$5,357.75	$10,376.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,289.92 / $1,746.58 / $2,911.63	Professional		$1,289.92	$1,746.58	$2,911.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,079.32 / $2,950.25 / $7,097.24	Facility		$2,079.32	$2,950.25	$7,097.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,396.41 / $2,291.88 / $3,612.82	Professional		$1,396.41	$2,291.88	$3,612.82
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,691.21 / $2,697.24 / $5,588.38	Facility		$1,691.21	$2,697.24	$5,588.38
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,208.30 / $1,946.45 / $3,313.17	Professional		$1,208.30	$1,946.45	$3,313.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $896.02 / $1,523.12 / $5,499.18	Facility		$896.02	$1,523.12	$5,499.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $829.50 / $1,450.69 / $3,224.85	Professional		$829.50	$1,450.69	$3,224.85
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 $839.87 / $1,379.82 / $3,224.85	Professional		$839.87	$1,379.82	$3,224.85