Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $120.23 / $141.25	Facility		$104.71	$120.23	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $199.53	Professional		$104.71	$131.83	$199.53
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $30.20 / $30.20 / $30.20	Professional	25	$30.20	$30.20	$30.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $549.54 / $1,905.46	Facility		$269.15	$549.54	$1,905.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $323.59 / $467.74	Professional		$218.78	$323.59	$467.74
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $173.78 / $251.19 / $363.08	Professional	25	$173.78	$251.19	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $562.34 / $1,348.96	Facility		$389.05	$562.34	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $426.58 / $645.65	Professional		$281.84	$426.58	$645.65
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $537.03 / $1,047.13	Facility		$436.52	$537.03	$1,047.13
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $380.19 / $616.60	Professional		$275.42	$380.19	$616.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $239.88 / $331.13	Facility		$141.25	$239.88	$331.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $251.19 / $416.87	Professional		$147.91	$251.19	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $275.42 / $446.68	Professional		$162.18	$275.42	$446.68