Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.86 / $119.98 / $141.15	Facility		$105.86	$119.98	$141.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.86 / $125.62 / $162.58	Professional		$105.86	$125.62	$162.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.19 / $556.96 / $1,092.77	Facility		$260.19	$556.96	$1,092.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.13 / $305.69 / $476.54	Professional		$219.13	$305.69	$476.54
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $180.95 / $244.55 / $364.82	Professional	25	$180.95	$244.55	$364.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $377.33 / $535.11 / $1,287.27	Facility		$377.33	$535.11	$1,287.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.89 / $414.84 / $646.99	Professional		$275.89	$414.84	$646.99
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $297.11 / $489.22 / $1,013.60	Facility		$297.11	$489.22	$1,013.60
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $254.31 / $358.03 / $523.26	Professional		$254.31	$358.03	$523.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $142.13 / $237.77 / $330.02	Facility		$142.13	$237.77	$330.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $150.46 / $249.36 / $417.26	Professional		$150.46	$249.36	$417.26
United Facility/Professional Professional Modifier Low / Median / High Price $148.47 / $249.36 / $417.26	Professional		$148.47	$249.36	$417.26