Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $676.08 / $912.01	Facility		$275.42	$676.08	$912.01
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $562.34 / $691.83 / $912.01	Facility	25	$562.34	$691.83	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $69.18 / $234.42	Professional		$52.48	$69.18	$234.42
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $60.26 / $147.91 / $331.13	Professional	25	$60.26	$147.91	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $812.83	Facility		$549.54	$549.54	$812.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $165.96 / $239.88	Professional		$104.71	$165.96	$239.88
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $83.18 / $128.82 / $190.55	Professional	25	$83.18	$128.82	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $257.04 / $602.56	Facility		$173.78	$257.04	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $186.21 / $288.40	Professional		$91.20	$186.21	$288.40
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $281.84 / $467.74	Facility		$194.98	$281.84	$467.74
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $173.78 / $251.19	Professional		$117.49	$173.78	$251.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $120.23 / $562.34	Facility		$64.57	$120.23	$562.34
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $251.19 / $446.68 / $891.25	Facility	25	$251.19	$446.68	$891.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $173.78 / $398.11	Professional		$102.33	$173.78	$398.11
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $125.89 / $181.97 / $371.54	Professional	25	$125.89	$181.97	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $128.82 / $213.80	Professional		$66.07	$128.82	$213.80