Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.80 / $104.04 / $122.40	Facility		$91.80	$104.04	$122.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.80 / $119.77 / $156.03	Professional		$91.80	$119.77	$156.03
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $26.28 / $26.28 / $147.68	Professional	25	$26.28	$26.28	$147.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.54 / $484.91 / $1,049.84	Facility		$225.54	$484.91	$1,049.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.53 / $266.48 / $413.07	Professional		$189.53	$266.48	$413.07
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $156.51 / $213.18 / $319.10	Professional	25	$156.51	$213.18	$319.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.80 / $463.44 / $1,114.86	Facility		$326.80	$463.44	$1,114.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.03 / $359.41 / $560.54	Professional		$239.03	$359.41	$560.54
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $257.32 / $423.70 / $877.85	Facility		$257.32	$423.70	$877.85
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $220.33 / $310.19 / $453.34	Professional		$220.33	$310.19	$453.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $124.84 / $206.86 / $287.58	Facility		$124.84	$206.86	$287.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.90 / $239.02 / $401.38	Professional		$144.90	$239.02	$401.38
United Facility/Professional Professional Modifier Low / Median / High Price $142.12 / $243.41 / $409.68	Professional		$142.12	$243.41	$409.68