Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $100.00 / $117.49	Facility		$87.10	$100.00	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $181.97	Professional		$87.10	$109.65	$181.97
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $158.49 / $158.49 / $158.49	Professional	25	$158.49	$158.49	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $123.03 / $1,819.70	Facility		$117.49	$123.03	$1,819.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $288.40 / $478.63	Professional		$186.21	$288.40	$478.63
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $147.91 / $223.87 / $380.19	Professional	25	$147.91	$223.87	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $331.13	Facility		$269.15	$269.15	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $263.03 / $467.74	Professional		$186.21	$263.03	$467.74
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $263.03	Facility		$234.42	$234.42	$263.03
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $416.87	Professional		$186.21	$275.42	$416.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $165.96 / $575.44	Facility		$81.28	$165.96	$575.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $213.80 / $416.87	Professional		$114.82	$213.80	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $263.03 / $446.68	Professional		$131.83	$263.03	$446.68