Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $128.82 / $380.19	Facility		$69.18	$128.82	$380.19
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $380.19 / $380.19 / $645.65	Facility	25	$380.19	$380.19	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $181.97 / $457.09	Professional		$104.71	$181.97	$457.09
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $123.03 / $213.80 / $501.19	Professional	25	$123.03	$213.80	$501.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $245.47 / $1,819.70	Facility		$104.71	$245.47	$1,819.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $338.84 / $501.19	Professional		$204.17	$338.84	$501.19
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $162.18 / $263.03 / $398.11	Professional	25	$162.18	$263.03	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $512.86 / $1,479.11	Facility		$245.47	$512.86	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $323.59 / $575.44	Professional		$151.36	$323.59	$575.44
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $575.44 / $1,148.15	Facility		$389.05	$575.44	$1,148.15
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $354.81 / $549.54	Professional		$229.09	$354.81	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $181.97 / $363.08	Facility		$109.65	$181.97	$363.08
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $354.81 / $354.81 / $575.44	Facility	25	$354.81	$354.81	$575.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $416.87 / $524.81	Professional		$218.78	$416.87	$524.81
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $302.00 / $426.58 / $512.86	Professional	25	$302.00	$426.58	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $131.83	Facility		$69.18	$69.18	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $229.09 / $416.87	Professional		$131.83	$229.09	$416.87