Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.70 / $724.70 / $7,859.00	Facility		$724.70	$724.70	$7,859.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $144.94 / $144.94 / $144.94	Facility	53	$144.94	$144.94	$144.94
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $543.53 / $543.53 / $543.53	Facility	54	$543.53	$543.53	$543.53
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $108.71 / $108.71 / $108.71	Facility	55	$108.71	$108.71	$108.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.54 / $724.70 / $1,189.51	Professional		$570.54	$724.70	$1,189.51
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $108.71 / $110.02 / $178.43	Professional	55	$108.71	$110.02	$178.43
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 $1,140.73 / $1,499.60 / $2,467.62	Professional		$1,140.73	$1,499.60	$2,467.62
BCBS Facility/Professional Professional Modifier 55 Low / Median / High Price $227.18 / $288.02 / $464.49	Professional	55	$227.18	$288.02	$464.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,687.87 / $2,394.84 / $5,761.12	Facility		$1,687.87	$2,394.84	$5,761.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,147.56 / $1,886.22 / $2,969.00	Professional		$1,147.56	$1,886.22	$2,969.00
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,372.82 / $2,189.46 / $4,536.31	Facility		$1,372.82	$2,189.46	$4,536.31
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $992.97 / $1,599.58 / $2,722.74	Professional		$992.97	$1,599.58	$2,722.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $746.28 / $1,377.26 / $10,533.00	Facility		$746.28	$1,377.26	$10,533.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $768.21 / $1,301.94 / $2,818.46	Professional		$768.21	$1,301.94	$2,818.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.00 / $5,379.86 / $11,165.00	Facility		$1,445.00	$5,379.86	$11,165.00
United Facility/Professional Professional Modifier Low / Median / High Price $784.05 / $1,260.99 / $2,818.46	Professional		$784.05	$1,260.99	$2,818.46