Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.63 / $158.63 / $158.63	Facility		$158.63	$158.63	$158.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.13 / $158.63 / $202.50	Professional		$118.13	$158.63	$202.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.38 / $189.36 / $431.05	Facility		$165.38	$189.36	$431.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $168.75 / $168.75	Professional		$135.00	$168.75	$168.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $366.73 / $615.13 / $1,479.79	Facility		$366.73	$615.13	$1,479.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.05 / $246.52 / $328.49	Professional		$196.05	$246.52	$328.49
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $336.19 / $562.38 / $1,165.19	Facility		$336.19	$562.38	$1,165.19
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $194.11 / $194.11 / $306.82	Professional		$194.11	$194.11	$306.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $168.75 / $295.31 / $464.06	Facility		$168.75	$295.31	$464.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.06 / $135.00 / $444.96	Professional		$86.06	$135.00	$444.96
United Facility/Professional Professional Modifier Low / Median / High Price $70.88 / $135.00 / $359.38	Professional		$70.88	$135.00	$359.38