Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $134.90 / $436.52	Facility		$53.70	$134.90	$436.52
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $112.20 / $245.47 / $588.84	Facility	25	$112.20	$245.47	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $125.89 / $331.13	Professional		$60.26	$125.89	$331.13
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $61.66 / $134.90 / $346.74	Professional	25	$61.66	$134.90	$346.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $95.50 / $95.50 / $309.03	Professional	50	$95.50	$95.50	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $177.83 / $1,096.48	Facility		$77.62	$177.83	$1,096.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $245.47 / $363.08	Professional		$147.91	$245.47	$363.08
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $117.49 / $194.98 / $288.40	Professional	25	$117.49	$194.98	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $398.11 / $1,148.15	Facility		$190.55	$398.11	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $245.47 / $426.58	Professional		$102.33	$245.47	$426.58
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $436.52 / $891.25	Facility		$302.00	$436.52	$891.25
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $263.03 / $416.87	Professional		$165.96	$263.03	$416.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $125.89 / $281.84	Facility		$75.86	$125.89	$281.84
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $239.88 / $371.54 / $575.44	Facility	25	$239.88	$371.54	$575.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $302.00 / $398.11	Professional		$218.78	$302.00	$398.11
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $218.78 / $288.40 / $371.54	Professional	25	$218.78	$288.40	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $154.88 / $288.40	Professional		$81.28	$154.88	$288.40