Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.15 / $67.15 / $67.15	Facility		$67.15	$67.15	$67.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.15 / $67.15 / $122.24	Professional		$67.15	$67.15	$122.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.48 / $72.91 / $404.45	Facility		$71.48	$72.91	$404.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.18 / $71.48 / $72.91	Professional		$57.18	$71.48	$72.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.72 / $30.72 / $1,952.37	Facility		$30.72	$30.72	$1,952.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $869.25 / $877.94 / $1,103.95	Professional		$869.25	$877.94	$1,103.95
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,381.06 / $1,381.06 / $1,537.30	Facility		$1,381.06	$1,381.06	$1,537.30
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $869.25 / $869.25 / $869.25	Professional		$869.25	$869.25	$869.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.15 / $67.15 / $200.43	Facility		$67.15	$67.15	$200.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,009.14 / $1,009.14 / $1,009.14	Professional		$1,009.14	$1,009.14	$1,009.14