Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $904.55 / $904.55 / $7,859.00	Facility		$904.55	$904.55	$7,859.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $678.41 / $678.41 / $678.41	Facility	54	$678.41	$678.41	$678.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $838.19 / $921.55 / $1,489.55	Professional		$838.19	$921.55	$1,489.55
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $135.68 / $138.22 / $223.43	Professional	55	$135.68	$138.22	$223.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,550.32 / $11,200.18 / $21,136.32	Facility		$2,550.32	$11,200.18	$21,136.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,424.51 / $1,887.12 / $3,086.96	Professional		$1,424.51	$1,887.12	$3,086.96
BCBS Facility/Professional Professional Modifier 55 Low / Median / High Price $283.69 / $359.87 / $581.08	Professional	55	$283.69	$359.87	$581.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,106.26 / $2,988.48 / $7,189.18	Facility		$2,106.26	$2,988.48	$7,189.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,431.30 / $2,352.60 / $3,703.11	Professional		$1,431.30	$2,352.60	$3,703.11
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,713.12 / $2,732.18 / $5,660.78	Facility		$1,713.12	$2,732.18	$5,660.78
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,238.49 / $1,995.09 / $3,395.96	Professional		$1,238.49	$1,995.09	$3,395.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $930.47 / $1,699.11 / $10,533.00	Facility		$930.47	$1,699.11	$10,533.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $960.26 / $1,639.52 / $3,523.63	Professional		$960.26	$1,639.52	$3,523.63
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 $1,027.20 / $1,745.37 / $3,348.10	Professional		$1,027.20	$1,745.37	$3,348.10