Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $97.72 / $97.72	Facility		$72.44	$97.72	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $91.20 / $117.49	Professional		$72.44	$91.20	$117.49
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $102.33 / $104.71 / $162.18	Professional	25	$102.33	$104.71	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $389.05 / $1,288.25	Facility		$190.55	$389.05	$1,288.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $223.87 / $331.13	Professional		$154.88	$223.87	$331.13
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $123.03 / $173.78 / $257.04	Professional	25	$123.03	$173.78	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $398.11 / $954.99	Facility		$275.42	$398.11	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $302.00 / $457.09	Professional		$199.53	$302.00	$457.09
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $380.19 / $741.31	Facility		$309.03	$380.19	$741.31
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $269.15 / $426.58	Professional		$194.98	$269.15	$426.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $162.18 / $229.09	Facility		$114.82	$162.18	$229.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $169.82 / $281.84	Professional		$102.33	$169.82	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $190.55 / $309.03	Professional		$109.65	$190.55	$309.03