Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.28 / $735.28 / $6,575.00	Facility		$735.28	$735.28	$6,575.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $551.46 / $551.46 / $551.46	Facility	54	$551.46	$551.46	$551.46
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,713.12 / $2,430.67 / $5,847.32	Facility		$1,713.12	$2,430.67	$5,847.32
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,393.36 / $2,222.21 / $4,604.18	Facility		$1,393.36	$2,222.21	$4,604.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $748.69 / $1,300.34 / $5,908.43	Facility		$748.69	$1,300.34	$5,908.43
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