Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.52 / $152.00 / $202.67	Facility		$123.52	$152.00	$202.67
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $123.53 / $123.53 / $125.81	Facility	25	$123.53	$123.53	$125.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $233.20 / $662.15	Professional		$140.00	$233.20	$662.15
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $174.62 / $354.27 / $752.11	Professional	25	$174.62	$354.27	$752.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.99 / $322.92 / $1,300.00	Facility		$158.99	$322.92	$1,300.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.58 / $472.31 / $642.60	Professional		$313.58	$472.31	$642.60
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $252.88 / $377.85 / $492.42	Professional	25	$252.88	$377.85	$492.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.38 / $707.51 / $1,549.27	Facility		$494.38	$707.51	$1,549.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.88 / $551.46 / $845.72	Professional		$288.88	$551.46	$845.72
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $428.43 / $635.02 / $1,461.58	Facility		$428.43	$635.02	$1,461.58
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $320.19 / $525.72 / $724.43	Professional		$320.19	$525.72	$724.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $164.70 / $278.33 / $462.75	Facility		$164.70	$278.33	$462.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $264.85 / $566.34 / $901.32	Professional		$264.85	$566.34	$901.32
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $428.04 / $589.60 / $687.86	Professional	25	$428.04	$589.60	$687.86
United Facility/Professional Professional Modifier Low / Median / High Price $217.45 / $390.57 / $658.37	Professional		$217.45	$390.57	$658.37
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $88.00 / $90.00	Professional	25	$80.00	$88.00	$90.00