Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $169.82 / $169.82	Facility		$147.91	$169.82	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $165.96 / $407.38	Professional		$131.83	$165.96	$407.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $870.96 / $2,137.96	Facility		$363.08	$870.96	$2,137.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $371.54 / $588.84	Professional		$251.19	$371.54	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $630.96 / $1,513.56	Facility		$446.68	$630.96	$1,513.56
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $173.78 / $173.78 / $173.78	Facility	54	$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $489.78 / $758.58	Professional		$295.12	$489.78	$758.58
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $602.56 / $1,202.26	Facility		$489.78	$602.56	$1,202.26
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $436.52 / $691.83	Professional		$288.40	$436.52	$691.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $295.12 / $602.56	Facility		$158.49	$295.12	$602.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $331.13 / $1,096.48	Professional		$162.18	$331.13	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,819.70 / $3,467.37	Facility		$602.56	$1,819.70	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $288.40 / $549.54	Professional		$151.36	$288.40	$549.54