Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $102.33 / $186.21	Facility		$56.23	$102.33	$186.21
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $93.33 / $512.86 / $602.56	Facility	25	$93.33	$512.86	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $120.23 / $316.23	Professional		$67.61	$120.23	$316.23
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $72.44 / $131.83 / $316.23	Professional	25	$72.44	$131.83	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $151.36 / $1,071.52	Facility		$64.57	$151.36	$1,071.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $213.80 / $323.59	Professional		$128.82	$213.80	$323.59
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $102.33 / $165.96 / $257.04	Professional	25	$102.33	$165.96	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $346.74 / $977.24	Facility		$162.18	$346.74	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $208.93 / $380.19	Professional		$97.72	$208.93	$380.19
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $380.19 / $776.25	Facility		$257.04	$380.19	$776.25
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $223.87 / $363.08	Professional		$141.25	$223.87	$363.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $114.82 / $239.88	Facility		$70.79	$114.82	$239.88
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $107.15 / $288.40 / $831.76	Facility	25	$107.15	$288.40	$831.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $281.84 / $346.74	Professional		$144.54	$281.84	$346.74
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $190.55 / $281.84 / $338.84	Professional	25	$190.55	$281.84	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $93.33	Facility		$69.18	$69.18	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $144.54 / $269.15	Professional		$79.43	$144.54	$269.15