Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $114.82	Facility		$57.54	$57.54	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $144.54	Professional		$57.54	$57.54	$144.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $109.65 / $109.65	Facility		$53.70	$109.65	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $56.23 / $57.54	Professional		$45.71	$56.23	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $61.66 / $162.18	Facility		$57.54	$61.66	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $67.61 / $74.13	Professional		$58.88	$67.61	$74.13
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $58.88 / $61.66	Professional		$57.54	$58.88	$61.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $56.23 / $125.89	Facility		$41.69	$56.23	$125.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $75.86	Professional		$56.23	$56.23	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $104.71	Professional		$57.54	$57.54	$104.71