Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $107.15 / $295.12	Facility		$64.57	$107.15	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $102.33 / $269.15	Professional		$74.13	$102.33	$269.15
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $269.15 / $269.15 / $269.15	Professional	25	$269.15	$269.15	$269.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $91.20 / $371.54	Facility		$87.10	$91.20	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $223.87 / $338.84	Professional		$114.82	$223.87	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $323.59 / $776.25	Facility		$245.47	$323.59	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $269.15	Professional		$109.65	$141.25	$269.15
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $316.23 / $724.44	Facility		$245.47	$316.23	$724.44
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $131.83 / $263.03	Professional		$114.82	$131.83	$263.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $125.89 / $194.98	Facility		$91.20	$125.89	$194.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $134.90 / $316.23	Professional		$89.13	$134.90	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $141.25 / $302.00	Professional		$81.28	$141.25	$302.00