Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.12 / $100.95 / $265.91	Facility		$54.12	$100.95	$265.91
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $79.00 / $235.72 / $437.78	Facility	25	$79.00	$235.72	$437.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.98 / $131.38 / $352.00	Professional		$73.98	$131.38	$352.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $71.25 / $152.63 / $379.37	Professional	25	$71.25	$152.63	$379.37
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $94.50 / $94.50 / $94.50	Professional	50	$94.50	$94.50	$94.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.44 / $172.82 / $1,025.64	Facility		$85.44	$172.82	$1,025.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.48 / $256.97 / $347.15	Professional		$167.48	$256.97	$347.15
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $136.85 / $204.58 / $277.72	Professional	25	$136.85	$204.58	$277.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $290.05 / $415.09 / $908.94	Facility		$290.05	$415.09	$908.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.32 / $307.27 / $486.86	Professional		$153.32	$307.27	$486.86
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $251.35 / $372.56 / $857.49	Facility		$251.35	$372.56	$857.49
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $178.11 / $293.68 / $425.74	Professional		$178.11	$293.68	$425.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.59 / $150.80 / $264.97	Facility		$81.59	$150.80	$264.97
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $238.00 / $369.36 / $574.60	Facility	25	$238.00	$369.36	$574.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.52 / $314.38 / $402.14	Professional		$213.52	$314.38	$402.14
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $225.45 / $298.23 / $384.16	Professional	25	$225.45	$298.23	$384.16
United Facility/Professional Professional Modifier Low / Median / High Price $113.12 / $204.30 / $352.09	Professional		$113.12	$204.30	$352.09