Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.57 / $118.57 / $118.57	Facility		$118.57	$118.57	$118.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $85.90 / $118.57	Professional		$62.50	$85.90	$118.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.18 / $170.64 / $237.61	Facility		$146.18	$170.64	$237.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.51 / $162.11 / $170.64	Professional		$136.51	$162.11	$170.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.38 / $526.59 / $1,462.55	Facility		$115.38	$526.59	$1,462.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.00 / $209.88 / $251.46	Professional		$198.00	$209.88	$251.46
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $312.63 / $505.23 / $1,151.60	Facility		$312.63	$505.23	$1,151.60
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $198.00 / $198.00 / $203.60	Professional		$198.00	$198.00	$203.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.45 / $170.64 / $749.92	Facility		$47.45	$170.64	$749.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $79.68 / $174.97	Professional		$47.57	$79.68	$174.97
United Facility/Professional Professional Modifier Low / Median / High Price $56.76 / $118.93 / $299.73	Professional		$56.76	$118.93	$299.73