Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $34.67 / $40.74	Facility		$30.90	$34.67	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $40.74 / $67.61	Professional		$30.90	$40.74	$67.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $42.66 / $776.25	Facility		$40.74	$42.66	$776.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $109.65 / $169.82	Professional		$67.61	$109.65	$169.82
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $53.70 / $85.11 / $141.25	Professional	25	$53.70	$85.11	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $117.49	Facility		$97.72	$97.72	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $165.96	Professional		$67.61	$93.33	$165.96
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $93.33	Facility		$83.18	$83.18	$93.33
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $100.00 / $151.36	Professional		$67.61	$100.00	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $63.10 / $213.80	Facility		$37.15	$63.10	$213.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $91.20 / $177.83	Professional		$46.77	$91.20	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $104.71 / $181.97	Professional		$50.12	$104.71	$181.97