Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.83 / $83.67 / $98.58	Facility		$73.83	$83.67	$98.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.83 / $88.54 / $110.42	Professional		$73.83	$88.54	$110.42
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $101.95 / $101.95 / $161.10	Professional	25	$101.95	$101.95	$161.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.36 / $383.92 / $738.05	Facility		$182.36	$383.92	$738.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.72 / $214.14 / $333.99	Professional		$153.72	$214.14	$333.99
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $126.94 / $171.40 / $255.70	Professional	25	$126.94	$171.40	$255.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.31 / $376.25 / $905.11	Facility		$265.31	$376.25	$905.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.18 / $291.95 / $455.34	Professional		$194.18	$291.95	$455.34
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $208.91 / $343.98 / $712.69	Facility		$208.91	$343.98	$712.69
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $178.98 / $251.98 / $368.27	Professional		$178.98	$251.98	$368.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $113.62 / $161.84 / $230.79	Facility		$113.62	$161.84	$230.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.16 / $167.91 / $282.85	Professional		$104.16	$167.91	$282.85
United Facility/Professional Professional Modifier Low / Median / High Price $109.12 / $163.37 / $282.85	Professional		$109.12	$163.37	$282.85