Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.25 / $123.82 / $123.82	Facility		$83.25	$123.82	$123.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.68 / $88.23 / $176.71	Professional		$65.68	$88.23	$176.71
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $145.34 / $145.34 / $145.34	Professional	25	$145.34	$145.34	$145.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.70 / $325.05 / $644.78	Facility		$165.70	$325.05	$644.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.41 / $213.10 / $352.49	Professional		$128.41	$213.10	$352.49
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $107.60 / $179.42 / $288.07	Professional	25	$107.60	$179.42	$288.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.73 / $477.77 / $1,149.34	Facility		$336.73	$477.77	$1,149.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.10 / $346.90 / $568.58	Professional		$250.10	$346.90	$568.58
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $265.27 / $436.80 / $905.00	Facility		$265.27	$436.80	$905.00
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $230.52 / $324.54 / $474.32	Professional		$230.52	$324.54	$474.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.08 / $136.94 / $273.89	Facility		$78.08	$136.94	$273.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.08 / $196.99 / $569.78	Professional		$110.08	$196.99	$569.78
United Facility/Professional Professional Modifier Low / Median / High Price $114.16 / $176.97 / $290.57	Professional		$114.16	$176.97	$290.57