Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.18 / $112.40 / $132.24	Facility		$99.18	$112.40	$132.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.24 / $156.15 / $199.25	Professional		$132.24	$156.15	$199.25
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $152.11 / $152.11 / $152.11	Professional	25	$152.11	$152.11	$152.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.77 / $126.02 / $1,512.80	Facility		$120.77	$126.02	$1,512.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.22 / $340.30 / $503.37	Professional		$214.22	$340.30	$503.37
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $171.38 / $265.02 / $402.70	Professional	25	$171.38	$265.02	$402.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.24 / $286.24 / $349.54	Facility		$286.24	$286.24	$349.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.16 / $304.93 / $522.47	Professional		$198.16	$304.93	$522.47
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $247.26 / $247.26 / $275.23	Facility		$247.26	$247.26	$275.23
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $198.16 / $255.52 / $468.41	Professional		$198.16	$255.52	$468.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.07 / $201.26 / $685.02	Facility		$117.07	$201.26	$685.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $161.69 / $325.14 / $595.09	Professional		$161.69	$325.14	$595.09
United Facility/Professional Professional Modifier Low / Median / High Price $167.27 / $343.22 / $674.13	Professional		$167.27	$343.22	$674.13