Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.65 / $26.65 / $38.85	Facility		$26.65	$26.65	$38.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.91 / $34.65 / $65.31	Professional		$23.91	$34.65	$65.31
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $41.27 / $104.00 / $145.40	Professional	25	$41.27	$104.00	$145.40
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.19 / $15.84 / $22.09	Professional	52	$12.19	$15.84	$22.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.44 / $163.54 / $242.69	Facility		$49.44	$163.54	$242.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.44 / $88.42 / $134.28	Professional		$49.44	$88.42	$134.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.01 / $125.95 / $275.80	Facility		$88.01	$125.95	$275.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $39.61 / $54.77	Professional		$29.54	$39.61	$54.77
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $76.27 / $113.05 / $260.19	Facility		$76.27	$113.05	$260.19
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $38.38 / $43.13	Professional		$29.25	$38.38	$43.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.47 / $50.16 / $81.23	Facility		$28.47	$50.16	$81.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $84.80 / $171.97	Professional		$42.10	$84.80	$171.97
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $144.90 / $144.90 / $150.60	Professional	25	$144.90	$144.90	$150.60
Medica Facility/Professional Professional Modifier 52 Low / Median / High Price $79.18 / $79.18 / $79.18	Professional	52	$79.18	$79.18	$79.18
United Facility/Professional Professional Modifier Low / Median / High Price $40.78 / $76.06 / $143.40	Professional		$40.78	$76.06	$143.40