Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $957.17 / $957.17 / $7,859.00	Facility		$957.17	$957.17	$7,859.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $717.88 / $717.88 / $717.88	Facility	54	$717.88	$717.88	$717.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.42 / $957.17 / $2,000.00	Professional		$738.42	$957.17	$2,000.00
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $143.58 / $159.37 / $290.20	Professional	55	$143.58	$159.37	$290.20
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 $1,404.51 / $1,898.64 / $3,140.39	Professional		$1,404.51	$1,898.64	$3,140.39
BCBS Facility/Professional Professional Modifier 55 Low / Median / High Price $278.10 / $379.10 / $609.87	Professional	55	$278.10	$379.10	$609.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,225.80 / $3,158.09 / $7,597.20	Facility		$2,225.80	$3,158.09	$7,597.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,510.25 / $2,478.73 / $3,907.35	Professional		$1,510.25	$2,478.73	$3,907.35
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,810.35 / $2,887.25 / $5,982.05	Facility		$1,810.35	$2,887.25	$5,982.05
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,306.80 / $2,105.14 / $3,583.27	Professional		$1,306.80	$2,105.14	$3,583.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,024.74 / $1,666.17 / $5,499.18	Facility		$1,024.74	$1,666.17	$5,499.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $948.34 / $1,665.61 / $3,656.91	Professional		$948.34	$1,665.61	$3,656.91
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 $1,002.02 / $1,667.07 / $3,377.49	Professional		$1,002.02	$1,667.07	$3,377.49