Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $104.71 / $123.03	Facility		$91.20	$104.71	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $173.78	Professional		$95.50	$123.03	$173.78
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $147.91 / $147.91 / $147.91	Professional	25	$147.91	$147.91	$147.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $478.63 / $1,819.70	Facility		$234.42	$478.63	$1,819.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $407.38	Professional		$190.55	$275.42	$407.38
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $151.36 / $218.78 / $316.23	Professional	25	$151.36	$218.78	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $489.78 / $1,174.90	Facility		$338.84	$489.78	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $562.34	Professional		$245.47	$371.54	$562.34
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $467.74 / $912.01	Facility		$380.19	$467.74	$912.01
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $331.13 / $524.81	Professional		$239.88	$331.13	$524.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $208.93 / $288.40	Facility		$125.89	$208.93	$288.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $245.47 / $398.11	Professional		$128.82	$245.47	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $251.19 / $416.87	Professional		$144.54	$251.19	$416.87