Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.82 / $251.90 / $615.76	Facility		$192.82	$251.90	$615.76
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $1,175.82 / $1,552.32 / $1,991.11	Facility	25	$1,175.82	$1,552.32	$1,991.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.83 / $246.12 / $872.97	Professional		$189.83	$246.12	$872.97
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $196.91 / $600.07 / $1,359.25	Professional	25	$196.91	$600.07	$1,359.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $558.09 / $2,046.62 / $2,416.25	Facility		$558.09	$2,046.62	$2,416.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.78 / $568.97 / $820.68	Professional		$391.78	$568.97	$820.68
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $313.42 / $455.18 / $621.26	Professional	25	$313.42	$455.18	$621.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $609.94 / $951.96 / $2,290.08	Facility		$609.94	$951.96	$2,290.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.39 / $648.88 / $1,051.04	Professional		$348.39	$648.88	$1,051.04
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $609.94 / $783.45 / $1,803.21	Facility		$609.94	$783.45	$1,803.21
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $393.09 / $627.23 / $912.59	Professional		$393.09	$627.23	$912.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $202.11 / $361.85 / $619.79	Facility		$202.11	$361.85	$619.79
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $1,454.02 / $2,140.84 / $3,355.00	Facility	25	$1,454.02	$2,140.84	$3,355.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $350.30 / $734.44 / $1,336.39	Professional		$350.30	$734.44	$1,336.39
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $507.48 / $821.81 / $1,160.55	Professional	25	$507.48	$821.81	$1,160.55
United Facility/Professional Professional Modifier Low / Median / High Price $291.33 / $544.10 / $898.03	Professional		$291.33	$544.10	$898.03