Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.12 / $145.19 / $170.83	Facility		$128.12	$145.19	$170.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.34 / $165.00 / $212.79	Professional		$140.34	$165.00	$212.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.75 / $163.56 / $1,486.32	Facility		$156.75	$163.56	$1,486.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.54 / $450.87 / $656.88	Professional		$278.54	$450.87	$656.88
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $220.00 / $338.80 / $525.50	Professional	25	$220.00	$338.80	$525.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.76 / $371.76 / $453.98	Facility		$371.76	$371.76	$453.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.89 / $395.31 / $677.32	Professional		$256.89	$395.31	$677.32
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $321.14 / $321.14 / $357.46	Facility		$321.14	$321.14	$357.46
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $256.89 / $331.25 / $607.24	Professional		$256.89	$331.25	$607.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $113.97 / $240.67 / $832.62	Facility		$113.97	$240.67	$832.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $164.35 / $316.70 / $584.42	Professional		$164.35	$316.70	$584.42
United Facility/Professional Professional Modifier Low / Median / High Price $182.61 / $334.31 / $584.42	Professional		$182.61	$334.31	$584.42