Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.83 / $129.83 / $292.00	Facility		$129.83	$129.83	$292.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.68 / $126.57 / $212.61	Professional		$90.68	$126.57	$212.61
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $78.18 / $143.22 / $207.12	Professional	25	$78.18	$143.22	$207.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.68 / $227.44 / $874.09	Facility		$115.68	$227.44	$874.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.49 / $366.94 / $458.68	Professional		$207.49	$366.94	$458.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.17 / $423.85 / $928.12	Facility		$296.17	$423.85	$928.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.58 / $159.63 / $184.31	Professional		$146.58	$159.63	$184.31
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $256.66 / $380.42 / $875.59	Facility		$256.66	$380.42	$875.59
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $145.13 / $145.13 / $154.80	Professional		$145.13	$145.13	$154.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $212.57 / $321.85	Facility		$117.49	$212.57	$321.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.15 / $232.62 / $408.24	Professional		$123.15	$232.62	$408.24
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $157.50 / $157.50 / $157.50	Professional	25	$157.50	$157.50	$157.50
United Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $230.01 / $376.14	Professional		$125.50	$230.01	$376.14