Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.88 / $164.88 / $164.88	Facility		$164.88	$164.88	$164.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.78 / $164.88 / $210.48	Professional		$122.78	$164.88	$210.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $171.89 / $201.71 / $388.85	Facility		$171.89	$201.71	$388.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.32 / $175.40 / $175.40	Professional		$140.32	$175.40	$175.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $381.68 / $640.22 / $1,540.13	Facility		$381.68	$640.22	$1,540.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.56 / $255.96 / $341.07	Professional		$203.56	$255.96	$341.07
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $349.90 / $585.30 / $1,212.70	Facility		$349.90	$585.30	$1,212.70
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $201.54 / $201.54 / $318.57	Professional		$201.54	$201.54	$318.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $175.40 / $306.95 / $482.35	Facility		$175.40	$306.95	$482.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.45 / $140.32 / $462.49	Professional		$89.45	$140.32	$462.49
United Facility/Professional Professional Modifier Low / Median / High Price $89.45 / $175.40 / $380.27	Professional		$89.45	$175.40	$380.27