Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $57.54 / $67.61	Facility		$51.29	$57.54	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $67.61 / $97.72	Professional		$52.48	$67.61	$97.72
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $14.45 / $70.79 / $70.79	Professional	25	$14.45	$70.79	$70.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $269.15 / $954.99	Facility		$131.83	$269.15	$954.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $223.87	Professional		$104.71	$151.36	$223.87
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $85.11 / $120.23 / $177.83	Professional	25	$85.11	$120.23	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $275.42 / $660.69	Facility		$190.55	$275.42	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $208.93 / $316.23	Professional		$134.90	$208.93	$316.23
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $263.03 / $512.86	Facility		$213.80	$263.03	$512.86
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $186.21 / $295.12	Professional		$134.90	$186.21	$295.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $114.82 / $158.49	Facility		$81.28	$114.82	$158.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $128.82 / $213.80	Professional		$72.44	$128.82	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $138.04 / $223.87	Professional		$79.43	$138.04	$223.87