Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $77.53 / $135.44	Facility		$56.10	$77.53	$135.44
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $142.60 / $515.80 / $515.80	Facility	25	$142.60	$515.80	$515.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.34 / $115.91 / $326.00	Professional		$66.34	$115.91	$326.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $72.61 / $149.60 / $364.63	Professional	25	$72.61	$149.60	$364.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.40 / $145.91 / $572.96	Facility		$71.40	$145.91	$572.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.97 / $220.01 / $317.35	Professional		$145.97	$220.01	$317.35
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $116.69 / $174.42 / $241.66	Professional	25	$116.69	$174.42	$241.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.02 / $359.23 / $786.63	Facility		$251.02	$359.23	$786.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.41 / $258.06 / $409.98	Professional		$135.41	$258.06	$409.98
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $217.53 / $322.42 / $742.10	Facility		$217.53	$322.42	$742.10
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $150.43 / $247.93 / $367.79	Professional		$150.43	$247.93	$367.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.80 / $137.13 / $229.38	Facility		$74.80	$137.13	$229.38
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $106.00 / $291.64 / $829.54	Facility	25	$106.00	$291.64	$829.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $148.46 / $293.80 / $378.56	Professional		$148.46	$293.80	$378.56
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $195.41 / $293.58 / $338.76	Professional	25	$195.41	$293.58	$338.76
United Facility/Professional Professional Modifier Low / Median / High Price $110.30 / $230.81 / $354.59	Professional		$110.30	$230.81	$354.59