Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $81.28 / $81.28	Facility		$72.44	$81.28	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $72.44 / $89.13	Professional		$60.26	$72.44	$89.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $138.04 / $457.09	Facility		$131.83	$138.04	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $239.88	Professional		$102.33	$158.49	$239.88
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $79.43 / $125.89 / $186.21	Professional	25	$79.43	$125.89	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $302.00 / $724.44	Facility		$208.93	$302.00	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $354.81	Professional		$154.88	$213.80	$354.81
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $295.12 / $575.44	Facility		$234.42	$295.12	$575.44
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $213.80 / $295.12	Professional		$144.54	$213.80	$295.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $91.20 / $162.18	Facility		$67.61	$91.20	$162.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $181.97 / $467.74	Professional		$93.33	$181.97	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $158.49 / $263.03	Professional		$87.10	$158.49	$263.03