Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.33 / $63.84 / $75.11	Facility		$56.33	$63.84	$75.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $66.27 / $88.47	Professional		$56.33	$66.27	$88.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $296.80 / $592.15	Facility		$138.04	$296.80	$592.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.01 / $163.00 / $252.84	Professional		$116.01	$163.00	$252.84
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $95.80 / $130.50 / $195.31	Professional	25	$95.80	$130.50	$195.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.46 / $284.27 / $683.86	Facility		$200.46	$284.27	$683.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.25 / $219.89 / $342.95	Professional		$146.25	$219.89	$342.95
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $157.84 / $259.89 / $538.48	Facility		$157.84	$259.89	$538.48
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $134.80 / $189.78 / $277.37	Professional		$134.80	$189.78	$277.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $84.67 / $114.53 / $175.29	Facility		$84.67	$114.53	$175.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.18 / $134.69 / $226.50	Professional		$82.18	$134.69	$226.50
United Facility/Professional Professional Modifier Low / Median / High Price $83.32 / $134.69 / $226.50	Professional		$83.32	$134.69	$226.50