Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.83 / $165.83 / $300.00	Facility		$165.83	$165.83	$300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $293.27	Professional		$165.83	$165.83	$293.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.97 / $148.96 / $281.66	Facility		$114.97	$148.96	$281.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.57 / $161.96 / $161.96	Professional		$129.57	$161.96	$161.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.38 / $254.97 / $509.67	Facility		$203.38	$254.97	$509.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.13 / $187.75 / $211.41	Professional		$168.13	$187.75	$211.41
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $191.87 / $401.31 / $583.73	Facility		$191.87	$401.31	$583.73
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $166.46 / $166.46 / $226.39	Professional		$166.46	$166.46	$226.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $161.94 / $161.96 / $273.70	Facility		$161.94	$161.96	$273.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $161.96 / $161.96 / $223.54	Professional		$161.96	$161.96	$223.54
United Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $273.95	Professional		$165.83	$165.83	$273.95