Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $144.54 / $169.82	Facility		$128.82	$144.54	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $154.88 / $218.78	Professional		$128.82	$154.88	$218.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $177.83 / $2,511.89	Facility		$169.82	$177.83	$2,511.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $407.38 / $691.83	Professional		$269.15	$407.38	$691.83
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $213.80 / $323.59 / $575.44	Professional	25	$213.80	$323.59	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $478.63	Facility		$389.05	$389.05	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $380.19 / $676.08	Professional		$269.15	$380.19	$676.08
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $380.19	Facility		$338.84	$338.84	$380.19
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $398.11 / $602.56	Professional		$269.15	$398.11	$602.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $239.88 / $831.76	Facility		$114.82	$239.88	$831.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $295.12 / $575.44	Professional		$158.49	$295.12	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $380.19 / $645.65	Professional		$181.97	$380.19	$645.65