Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.93 / $121.24 / $153.69	Facility		$90.93	$121.24	$153.69
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $382.19 / $382.19 / $382.19	Facility	25	$382.19	$382.19	$382.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.13 / $181.61 / $465.50	Professional		$108.13	$181.61	$465.50
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $128.97 / $256.04 / $577.60	Professional	25	$128.97	$256.04	$577.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.18 / $237.41 / $1,300.00	Facility		$117.18	$237.41	$1,300.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.12 / $351.26 / $483.79	Professional		$232.12	$351.26	$483.79
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $186.43 / $277.77 / $370.92	Professional	25	$186.43	$277.77	$370.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $536.66 / $1,175.14	Facility		$375.00	$536.66	$1,175.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.24 / $410.21 / $642.75	Professional		$220.24	$410.21	$642.75
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $324.97 / $481.67 / $1,108.63	Facility		$324.97	$481.67	$1,108.63
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $237.04 / $394.43 / $550.55	Professional		$237.04	$394.43	$550.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $121.24 / $205.52 / $343.36	Facility		$121.24	$205.52	$343.36
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $353.15 / $353.15 / $580.90	Facility	25	$353.15	$353.15	$580.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $231.09 / $447.00 / $543.44	Professional		$231.09	$447.00	$543.44
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $313.55 / $445.88 / $510.96	Professional	25	$313.55	$445.88	$510.96
United Facility/Professional Facility Modifier Low / Median / High Price $188.95 / $188.95 / $188.95	Facility		$188.95	$188.95	$188.95
United Facility/Professional Professional Modifier Low / Median / High Price $172.11 / $307.99 / $528.41	Professional		$172.11	$307.99	$528.41