Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $100.00 / $257.04	Facility		$15.85	$100.00	$257.04
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $56.23 / $239.88 / $331.13	Facility	25	$56.23	$239.88	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $21.88 / $61.66	Professional		$7.08	$21.88	$61.66
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $19.05 / $34.67 / $79.43	Professional	25	$19.05	$34.67	$79.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $15.85 / $128.82	Facility		$6.92	$15.85	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $30.90 / $64.57	Professional		$13.49	$30.90	$64.57
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $10.96 / $23.99 / $52.48	Professional	25	$10.96	$23.99	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $75.86 / $208.93	Facility		$41.69	$75.86	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $29.51 / $77.62	Professional		$13.18	$29.51	$77.62
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $81.28 / $165.96	Facility		$54.95	$81.28	$165.96
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $33.88 / $77.62	Professional		$15.14	$33.88	$77.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $20.89 / $46.77	Facility		$8.13	$20.89	$46.77
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $154.88 / $154.88 / $154.88	Facility	25	$154.88	$154.88	$154.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $58.88 / $93.33	Professional		$23.44	$58.88	$93.33
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $44.67 / $56.23 / $77.62	Professional	25	$44.67	$56.23	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $23.44 / $57.54	Professional		$9.77	$23.44	$57.54