Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.27 / $69.27 / $76.41	Facility		$69.27	$69.27	$76.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.83 / $75.87 / $136.96	Professional		$55.83	$75.87	$136.96
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $70.76 / $128.68 / $266.29	Professional	25	$70.76	$128.68	$266.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.97 / $230.56 / $637.92	Facility		$137.97	$230.56	$637.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.18 / $191.88 / $250.19	Professional		$124.18	$191.88	$250.19
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $96.98 / $151.57 / $188.73	Professional	25	$96.98	$151.57	$188.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.44 / $263.95 / $577.98	Facility		$184.44	$263.95	$577.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.08 / $223.43 / $318.04	Professional		$126.08	$223.43	$318.04
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $159.83 / $236.90 / $545.26	Facility		$159.83	$236.90	$545.26
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $129.97 / $204.17 / $275.61	Professional		$129.97	$204.17	$275.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.27 / $125.69 / $194.45	Facility		$69.27	$125.69	$194.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.33 / $184.10 / $477.95	Professional		$91.33	$184.10	$477.95
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $208.00 / $270.70 / $322.30	Professional	25	$208.00	$270.70	$322.30
United Facility/Professional Professional Modifier Low / Median / High Price $89.31 / $162.88 / $276.58	Professional		$89.31	$162.88	$276.58