Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.17 / $83.17 / $83.17	Facility		$83.17	$83.17	$83.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.30 / $83.17 / $86.72	Professional		$55.30	$83.17	$86.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.54 / $119.70 / $166.66	Facility		$102.54	$119.70	$166.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.76 / $113.72 / $119.70	Professional		$95.76	$113.72	$119.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.33 / $369.33 / $1,025.79	Facility		$84.33	$369.33	$1,025.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.75 / $147.08 / $176.21	Professional		$138.75	$147.08	$176.21
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $219.27 / $354.36 / $807.71	Facility		$219.27	$354.36	$807.71
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $138.75 / $138.75 / $142.80	Professional		$138.75	$138.75	$142.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.79 / $119.70 / $593.85	Facility		$37.79	$119.70	$593.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $57.22 / $143.63	Professional		$37.90	$57.22	$143.63
United Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $59.71 / $158.00	Professional		$37.90	$59.71	$158.00