Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.44 / $62.83 / $73.92	Facility		$55.44	$62.83	$73.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.44 / $74.97 / $108.68	Professional		$55.44	$74.97	$108.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.77 / $291.92 / $726.60	Facility		$135.77	$291.92	$726.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.58 / $160.97 / $248.67	Professional		$114.58	$160.97	$248.67
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $91.66 / $128.34 / $190.38	Professional	25	$91.66	$128.34	$190.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.25 / $278.30 / $669.50	Facility		$196.25	$278.30	$669.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.79 / $216.20 / $337.19	Professional		$143.79	$216.20	$337.19
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $154.53 / $254.44 / $527.16	Facility		$154.53	$254.44	$527.16
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $132.54 / $186.59 / $272.70	Professional		$132.54	$186.59	$272.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.13 / $135.28 / $172.97	Facility		$94.13	$135.28	$172.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $101.23 / $162.85 / $279.00	Professional		$101.23	$162.85	$279.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.43 / $162.85 / $284.77	Professional		$90.43	$162.85	$284.77