Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $38.02	Facility		$25.70	$25.70	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $38.02 / $100.00	Professional		$23.99	$38.02	$100.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $30.90 / $72.44 / $173.78	Professional	25	$30.90	$72.44	$173.78
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $35.48 / $35.48 / $35.48	Professional	52	$35.48	$35.48	$35.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $162.18 / $426.58	Facility		$48.98	$162.18	$426.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $74.13 / $120.23	Professional		$41.69	$74.13	$120.23
BCBS Facility/Professional Professional Modifier 52 Low / Median / High Price $25.70 / $30.20 / $43.65	Professional	52	$25.70	$30.20	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $120.23 / $346.74	Facility		$69.18	$120.23	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $37.15 / $54.95	Professional		$29.51	$37.15	$54.95
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $134.90 / $269.15	Facility		$91.20	$134.90	$269.15
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $42.66 / $42.66	Professional		$29.51	$42.66	$42.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $42.66 / $81.28	Facility		$26.92	$42.66	$81.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $79.43 / $173.78	Professional		$36.31	$79.43	$173.78
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $144.54 / $144.54 / $151.36	Professional	25	$144.54	$144.54	$151.36
Medica Facility/Professional Professional Modifier 52 Low / Median / High Price $79.43 / $79.43 / $79.43	Professional	52	$79.43	$79.43	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $53.70 / $102.33	Professional		$29.51	$53.70	$102.33