Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.92 / $61.11 / $71.89	Facility		$53.92	$61.11	$71.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $71.89 / $92.65	Professional		$61.11	$71.89	$92.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.95 / $69.88 / $662.22	Facility		$66.95	$69.88	$662.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.51 / $188.25 / $277.27	Professional		$118.51	$188.25	$277.27
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $94.81 / $145.41 / $221.82	Professional	25	$94.81	$145.41	$221.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.94 / $157.94 / $192.88	Facility		$157.94	$157.94	$192.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.30 / $169.73 / $290.82	Professional		$110.30	$169.73	$290.82
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $136.44 / $136.44 / $151.87	Facility		$136.44	$136.44	$151.87
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $110.30 / $142.22 / $260.73	Professional		$110.30	$142.22	$260.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.34 / $111.92 / $354.23	Facility		$56.34	$111.92	$354.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.78 / $141.08 / $256.39	Professional		$71.78	$141.08	$256.39
United Facility/Professional Professional Modifier Low / Median / High Price $79.76 / $148.91 / $256.39	Professional		$79.76	$148.91	$256.39