Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $70.79 / $199.53	Professional		$56.23	$70.79	$199.53
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $66.07 / $128.82 / $251.19	Professional	25	$66.07	$128.82	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $489.78 / $1,047.13	Facility		$131.83	$489.78	$1,047.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $218.78	Professional		$102.33	$158.49	$218.78
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $81.28 / $120.23 / $177.83	Professional	25	$81.28	$120.23	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $218.78 / $630.96	Facility		$125.89	$218.78	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $162.18 / $269.15	Professional		$87.10	$162.18	$269.15
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $239.88 / $489.78	Facility		$162.18	$239.88	$489.78
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $169.82 / $245.47	Professional		$107.15	$169.82	$245.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $93.33 / $190.55	Facility		$57.54	$93.33	$190.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $131.83 / $446.68	Professional		$69.18	$131.83	$446.68
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $158.49 / $158.49 / $239.88	Professional	25	$158.49	$158.49	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $117.49 / $213.80	Professional		$67.61	$117.49	$213.80