Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.43 / $108.43 / $108.43	Facility		$108.43	$108.43	$108.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.91 / $108.43 / $129.16	Professional		$88.91	$108.43	$129.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.94 / $188.47 / $381.40	Facility		$94.94	$188.47	$381.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.15 / $297.37 / $380.08	Professional		$166.15	$297.37	$380.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $242.60 / $347.19 / $760.25	Facility		$242.60	$347.19	$760.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.06 / $130.76 / $150.97	Professional		$120.06	$130.76	$150.97
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $210.23 / $311.61 / $717.21	Facility		$210.23	$311.61	$717.21
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $118.88 / $118.88 / $126.80	Professional		$118.88	$118.88	$126.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.33 / $174.52 / $264.25	Facility		$104.33	$174.52	$264.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $118.33 / $224.22 / $496.87	Professional		$118.33	$224.22	$496.87
United Facility/Professional Professional Modifier Low / Median / High Price $118.33 / $216.12 / $409.99	Professional		$118.33	$216.12	$409.99