Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.44 / $902.00 / $1,440.00	Facility		$81.44	$902.00	$1,440.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $654.08 / $973.88 / $1,906.68	Facility	25	$654.08	$973.88	$1,906.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.12 / $119.09 / $443.10	Professional		$90.12	$119.09	$443.10
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $96.23 / $274.23 / $687.80	Professional	25	$96.23	$274.23	$687.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $463.77 / $538.91 / $1,206.01	Facility		$463.77	$538.91	$1,206.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.64 / $307.52 / $400.97	Professional		$190.64	$307.52	$400.97
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $152.51 / $243.59 / $298.98	Professional	25	$152.51	$243.59	$298.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.22 / $409.39 / $976.95	Facility		$286.22	$409.39	$976.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.14 / $340.39 / $491.37	Professional		$193.14	$340.39	$491.37
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $260.20 / $334.22 / $769.25	Facility		$260.20	$334.22	$769.25
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $193.14 / $311.30 / $425.06	Professional		$193.14	$311.30	$425.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.59 / $183.52 / $707.24	Facility		$108.59	$183.52	$707.24
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $416.59 / $866.32 / $1,147.00	Facility	25	$416.59	$866.32	$1,147.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $202.13 / $349.62 / $631.47	Professional		$202.13	$349.62	$631.47
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $237.12 / $375.44 / $640.66	Professional	25	$237.12	$375.44	$640.66
United Facility/Professional Professional Modifier Low / Median / High Price $121.98 / $241.04 / $393.26	Professional		$121.98	$241.04	$393.26