Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.39 / $109.39 / $109.39	Facility		$109.39	$109.39	$109.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $84.64 / $109.39	Professional		$66.20	$84.64	$109.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $259.66 / $441.86 / $751.96	Facility		$259.66	$441.86	$751.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $12.48 / $12.48	Professional		$12.48	$12.48	$12.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.43 / $281.58 / $692.48	Facility		$161.43	$281.58	$692.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.53 / $126.41 / $168.12	Professional		$100.53	$126.41	$168.12
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $143.59 / $239.22 / $545.26	Facility		$143.59	$239.22	$545.26
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $99.53 / $99.53 / $151.83	Professional		$99.53	$99.53	$151.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.88 / $124.97 / $184.87	Facility		$83.88	$124.97	$184.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.08 / $73.84 / $739.96	Professional		$51.08	$73.84	$739.96
United Facility/Professional Professional Modifier Low / Median / High Price $51.08 / $81.84 / $257.95	Professional		$51.08	$81.84	$257.95