Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.95 / $122.99 / $122.99	Facility		$106.95	$122.99	$122.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.16 / $119.82 / $201.18	Professional		$90.16	$119.82	$201.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $230.83 / $668.79 / $1,415.95	Facility		$230.83	$668.79	$1,415.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.23 / $229.91 / $390.70	Professional		$164.23	$229.91	$390.70
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $243.98 / $339.69 / $548.00	Professional	50	$243.98	$339.69	$548.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.22 / $406.11 / $976.95	Facility		$286.22	$406.11	$976.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.14 / $290.64 / $498.38	Professional		$180.14	$290.64	$498.38
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $232.80 / $371.28 / $769.25	Facility		$232.80	$371.28	$769.25
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $168.79 / $268.20 / $461.13	Professional		$168.79	$268.20	$461.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.64 / $199.23 / $563.00	Facility		$120.64	$199.23	$563.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.96 / $218.98 / $818.01	Professional		$125.96	$218.98	$818.01
United Facility/Professional Facility Modifier Low / Median / High Price $563.00 / $1,749.00 / $2,883.00	Facility		$563.00	$1,749.00	$2,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.96 / $203.40 / $432.05	Professional		$125.96	$203.40	$432.05