Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.94 / $148.15 / $4,828.00	Facility		$118.94	$148.15	$4,828.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.94 / $148.15 / $192.86	Professional		$118.94	$148.15	$192.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,629.85 / $6,373.77 / $12,643.17	Facility		$3,629.85	$6,373.77	$12,643.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.36 / $378.18 / $563.09	Professional		$233.36	$378.18	$563.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $393.34 / $557.79 / $1,341.87	Facility		$393.34	$557.79	$1,341.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.33 / $490.91 / $680.83	Professional		$273.33	$490.91	$680.83
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $319.75 / $509.96 / $1,056.58	Facility		$319.75	$509.96	$1,056.58
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $247.53 / $397.24 / $622.05	Professional		$247.53	$397.24	$622.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $170.23 / $258.75 / $4,746.00	Facility		$170.23	$258.75	$4,746.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $178.02 / $399.10 / $962.00	Professional		$178.02	$399.10	$962.00
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 $178.02 / $434.33 / $579.09	Professional		$178.02	$434.33	$579.09