Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $75.86 / $97.72	Professional		$54.95	$75.86	$97.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $107.15 / $107.15	Facility		$100.00	$107.15	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $107.15 / $107.15	Professional		$95.50	$107.15	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $346.74 / $398.11	Facility		$251.19	$346.74	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $131.83 / $154.88	Professional		$123.03	$131.83	$154.88
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $316.23 / $645.65	Facility		$251.19	$316.23	$645.65
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $123.03 / $144.54	Professional		$54.95	$123.03	$144.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $89.13 / $107.15	Facility		$58.88	$89.13	$107.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $43.65 / $83.18	Professional		$29.51	$43.65	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $43.65 / $109.65	Professional		$29.51	$43.65	$109.65