Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $61.66 / $70.79	Facility		$52.48	$61.66	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $66.07 / $97.72	Professional		$52.48	$66.07	$97.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $72.44 / $1,122.02	Facility		$70.79	$72.44	$1,122.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $173.78 / $295.12	Professional		$114.82	$173.78	$295.12
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $91.20 / $138.04 / $245.47	Professional	25	$91.20	$138.04	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $204.17	Facility		$165.96	$165.96	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $162.18 / $288.40	Professional		$117.49	$162.18	$288.40
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $162.18	Facility		$144.54	$144.54	$162.18
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $173.78 / $263.03	Professional		$117.49	$173.78	$263.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $112.20 / $354.81	Facility		$56.23	$112.20	$354.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $131.83 / $251.19	Professional		$69.18	$131.83	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $154.88 / $281.84	Professional		$79.43	$154.88	$281.84