Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.48 / $52.78 / $174.78	Facility		$27.48	$52.78	$174.78
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $52.89 / $79.81 / $203.22	Facility	25	$52.89	$79.81	$203.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.48 / $51.75 / $145.75	Professional		$27.48	$51.75	$145.75
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $33.07 / $73.29 / $161.65	Professional	25	$33.07	$73.29	$161.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.82 / $62.79 / $332.64	Facility		$30.82	$62.79	$332.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.68 / $97.63 / $153.29	Professional		$64.68	$97.63	$153.29
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $51.32 / $78.54 / $122.63	Professional	25	$51.32	$78.54	$122.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.57 / $184.00 / $402.91	Facility		$128.57	$184.00	$402.91
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $29.37 / $29.37 / $29.37	Facility	62	$29.37	$29.37	$29.37
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $4.70 / $4.70 / $4.70	Facility	AS	$4.70	$4.70	$4.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.92 / $119.65 / $216.43	Professional		$58.92	$119.65	$216.43
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $111.42 / $165.14 / $380.10	Facility		$111.42	$165.14	$380.10
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $65.53 / $111.60 / $188.35	Professional		$65.53	$111.60	$188.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.14 / $56.22 / $117.45	Facility		$32.14	$56.22	$117.45
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $77.26 / $200.20 / $602.36	Facility	25	$77.26	$200.20	$602.36
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $93.75 / $99.33 / $99.33	Facility	62	$93.75	$99.33	$99.33
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $15.00 / $15.89 / $15.89	Facility	AS	$15.00	$15.89	$15.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.81 / $128.86 / $215.60	Professional		$56.81	$128.86	$215.60
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $82.85 / $124.59 / $167.19	Professional	25	$82.85	$124.59	$167.19
United Facility/Professional Professional Modifier Low / Median / High Price $47.96 / $90.58 / $148.91	Professional		$47.96	$90.58	$148.91