Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.11 / $275.00 / $546.60	Facility		$28.11	$275.00	$546.60
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $285.00 / $425.70 / $530.40	Facility	25	$285.00	$425.70	$530.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.11 / $42.72 / $117.03	Professional		$28.11	$42.72	$117.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $377.21 / $434.02 / $504.33	Facility		$377.21	$434.02	$504.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.33 / $106.22 / $138.50	Professional		$66.33	$106.22	$138.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.34 / $142.08 / $339.06	Facility		$99.34	$142.08	$339.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $120.87 / $171.47	Professional		$65.20	$120.87	$171.47
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $90.31 / $115.99 / $266.98	Facility		$90.31	$115.99	$266.98
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $67.40 / $108.64 / $152.38	Professional		$67.40	$108.64	$152.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.47 / $63.92 / $215.82	Facility		$37.47	$63.92	$215.82
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $145.00 / $286.19 / $352.50	Facility	25	$145.00	$286.19	$352.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.72 / $97.50 / $179.35	Professional		$47.72	$97.50	$179.35
United Facility/Professional Professional Modifier Low / Median / High Price $44.39 / $87.05 / $139.04	Professional		$44.39	$87.05	$139.04