Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $61.66 / $72.44	Facility		$54.95	$61.66	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $81.28 / $112.20	Professional		$54.95	$81.28	$112.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $288.40 / $1,096.48	Facility		$141.25	$288.40	$1,096.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $239.88	Professional		$114.82	$169.82	$239.88
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $91.20 / $131.83 / $190.55	Professional	25	$91.20	$131.83	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $295.12 / $691.83	Facility		$204.17	$295.12	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $338.84	Professional		$147.91	$223.87	$338.84
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $281.84 / $549.54	Facility		$223.87	$281.84	$549.54
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $199.53 / $316.23	Professional		$144.54	$199.53	$316.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $134.90 / $173.78	Facility		$93.33	$134.90	$173.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $165.96 / $281.84	Professional		$91.20	$165.96	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.96 / $288.40	Professional		$100.00	$165.96	$288.40