Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.68 / $38.17 / $44.90	Facility		$33.68	$38.17	$44.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $51.94 / $140.44	Professional		$33.68	$51.94	$140.44
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $37.33 / $124.65 / $180.50	Professional	25	$37.33	$124.65	$180.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.51 / $175.82 / $317.52	Facility		$83.51	$175.82	$317.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $112.78 / $158.51	Professional		$73.94	$112.78	$158.51
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $58.28 / $87.47 / $120.02	Professional	25	$58.28	$87.47	$120.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.54 / $169.61 / $408.02	Facility		$119.54	$169.61	$408.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.64 / $136.19 / $203.18	Professional		$86.64	$136.19	$203.18
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $94.17 / $155.06 / $321.27	Facility		$94.17	$155.06	$321.27
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $118.99 / $180.57	Professional		$79.86	$118.99	$180.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.22 / $74.33 / $109.73	Facility		$46.22	$74.33	$109.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $84.04 / $171.00	Professional		$45.05	$84.04	$171.00
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $136.31 / $136.31 / $136.31	Professional	25	$136.31	$136.31	$136.31
United Facility/Professional Professional Modifier Low / Median / High Price $44.07 / $75.23 / $127.23	Professional		$44.07	$75.23	$127.23