Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $58.88 / $70.79	Facility		$52.48	$58.88	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $70.79 / $114.82	Professional		$52.48	$70.79	$114.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $74.13 / $1,174.90	Facility		$70.79	$74.13	$1,174.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $288.40	Professional		$112.20	$169.82	$288.40
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $91.20 / $134.90 / $239.88	Professional	25	$91.20	$134.90	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $199.53	Facility		$162.18	$162.18	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $281.84	Professional		$112.20	$158.49	$281.84
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $158.49	Facility		$141.25	$141.25	$158.49
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $251.19	Professional		$112.20	$169.82	$251.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $107.15 / $346.74	Facility		$56.23	$107.15	$346.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $141.25 / $269.15	Professional		$74.13	$141.25	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $162.18 / $281.84	Professional		$83.18	$162.18	$281.84