Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.15 / $431.00 / $857.11	Facility		$48.15	$431.00	$857.11
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $410.00 / $661.23 / $910.20	Facility	25	$410.00	$661.23	$910.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.44 / $66.65 / $231.73	Professional		$48.44	$66.65	$231.73
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $64.91 / $196.69 / $540.54	Professional	25	$64.91	$196.69	$540.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $459.69 / $534.16 / $776.93	Facility		$459.69	$534.16	$776.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.97 / $180.75 / $235.67	Professional		$111.97	$180.75	$235.67
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $89.38 / $142.77 / $175.72	Professional	25	$89.38	$142.77	$175.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.37 / $240.82 / $574.67	Facility		$168.37	$240.82	$574.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.85 / $200.64 / $289.63	Professional		$113.85	$200.64	$289.63
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $153.06 / $196.60 / $452.50	Facility		$153.06	$196.60	$452.50
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $113.85 / $183.49 / $250.55	Professional		$113.85	$183.49	$250.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $116.84 / $527.00	Facility		$64.20	$116.84	$527.00
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $253.09 / $450.99 / $896.00	Facility	25	$253.09	$450.99	$896.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $96.21 / $172.89 / $385.65	Professional		$96.21	$172.89	$385.65
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $124.92 / $182.93 / $376.97	Professional	25	$124.92	$182.93	$376.97
United Facility/Professional Professional Modifier Low / Median / High Price $66.40 / $138.11 / $213.46	Professional		$66.40	$138.11	$213.46