Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.86 / $99.57 / $117.14	Facility		$87.86	$99.57	$117.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.57 / $116.41 / $148.58	Professional		$99.57	$116.41	$148.58
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $159.88 / $159.88 / $159.88	Professional	25	$159.88	$159.88	$159.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.90 / $112.60 / $1,071.32	Facility		$107.90	$112.60	$1,071.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.20 / $307.48 / $451.01	Professional		$197.20	$307.48	$451.01
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $153.55 / $236.54 / $360.81	Professional	25	$153.55	$236.54	$360.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.89 / $255.89 / $312.48	Facility		$255.89	$255.89	$312.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.15 / $272.60 / $467.08	Professional		$177.15	$272.60	$467.08
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $221.04 / $221.04 / $246.05	Facility		$221.04	$221.04	$246.05
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $177.15 / $228.42 / $418.75	Professional		$177.15	$228.42	$418.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.33 / $165.84 / $573.72	Facility		$81.33	$165.84	$573.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.91 / $228.87 / $421.48	Professional		$117.91	$228.87	$421.48
United Facility/Professional Professional Modifier Low / Median / High Price $131.01 / $241.59 / $421.48	Professional		$131.01	$241.59	$421.48