Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.39 / $141.31 / $438.90	Facility		$98.39	$141.31	$438.90
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $83.03 / $177.51 / $696.80	Facility	25	$83.03	$177.51	$696.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.06 / $173.43 / $509.00	Professional		$104.06	$173.43	$509.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $118.55 / $257.60 / $538.50	Professional	25	$118.55	$257.60	$538.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.94 / $256.54 / $834.12	Facility		$126.94	$256.54	$834.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.75 / $375.23 / $488.72	Professional		$247.75	$375.23	$488.72
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $201.46 / $300.18 / $390.98	Professional	25	$201.46	$300.18	$390.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.90 / $583.75 / $1,278.27	Facility		$407.90	$583.75	$1,278.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.96 / $442.82 / $694.80	Professional		$225.96	$442.82	$694.80
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $353.49 / $523.94 / $1,205.91	Facility		$353.49	$523.94	$1,205.91
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $256.75 / $427.22 / $595.14	Professional		$256.75	$427.22	$595.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $121.06 / $217.18 / $371.61	Facility		$121.06	$217.18	$371.61
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $564.73 / $564.73 / $564.73	Facility	25	$564.73	$564.73	$564.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $230.27 / $435.10 / $569.65	Professional		$230.27	$435.10	$569.65
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $338.25 / $441.00 / $560.95	Professional	25	$338.25	$441.00	$560.95
United Facility/Professional Professional Modifier Low / Median / High Price $152.90 / $287.98 / $476.28	Professional		$152.90	$287.98	$476.28