Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $112.20 / $131.83	Facility		$100.00	$112.20	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.83 / $218.78	Professional		$100.00	$131.83	$218.78
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $151.36 / $151.36 / $151.36	Professional	25	$151.36	$151.36	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $134.90 / $2,570.40	Facility		$128.82	$134.90	$2,570.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $338.84 / $537.03	Professional		$208.93	$338.84	$537.03
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $165.96 / $263.03 / $426.58	Professional	25	$165.96	$263.03	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $371.54	Facility		$302.00	$302.00	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $295.12 / $524.81	Professional		$208.93	$295.12	$524.81
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $288.40	Facility		$263.03	$263.03	$288.40
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $467.74	Professional		$208.93	$309.03	$467.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $199.53 / $691.83	Facility		$117.49	$199.53	$691.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $302.00 / $588.84	Professional		$154.88	$302.00	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $346.74 / $602.56	Professional		$165.96	$346.74	$602.56