Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.27 / $78.36 / $78.36	Facility		$69.27	$78.36	$78.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.32 / $73.62 / $108.36	Professional		$63.32	$73.62	$108.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.44 / $273.58 / $685.77	Facility		$133.44	$273.58	$685.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.51 / $164.88 / $241.17	Professional		$115.51	$164.88	$241.17
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $93.82 / $136.86 / $188.51	Professional	25	$93.82	$136.86	$188.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.62 / $297.41 / $715.47	Facility		$209.62	$297.41	$715.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.08 / $223.61 / $354.84	Professional		$156.08	$223.61	$354.84
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $165.14 / $271.91 / $563.36	Facility		$165.14	$271.91	$563.36
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $143.87 / $207.57 / $296.01	Professional		$143.87	$207.57	$296.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.45 / $102.70 / $165.28	Facility		$67.45	$102.70	$165.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.34 / $177.89 / $475.79	Professional		$98.34	$177.89	$475.79
United Facility/Professional Professional Modifier Low / Median / High Price $94.24 / $181.97 / $291.11	Professional		$94.24	$181.97	$291.11