Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $2,089.30 / $4,365.16	Facility		$251.19	$2,089.30	$4,365.16
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $1,479.11 / $2,238.72 / $5,623.41	Facility	25	$1,479.11	$2,238.72	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $851.14	Professional		$173.78	$251.19	$851.14
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $194.98 / $426.58 / $1,148.15	Professional	25	$194.98	$426.58	$1,148.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,348.96 / $2,511.89	Facility		$575.44	$1,348.96	$2,511.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $562.34 / $831.76	Professional		$363.08	$562.34	$831.76
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $288.40 / $446.68 / $660.69	Professional	25	$288.40	$446.68	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $870.96 / $2,398.83	Facility		$562.34	$870.96	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $575.44 / $1,000.00	Professional		$263.03	$575.44	$1,000.00
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $954.99 / $1,905.46	Facility		$630.96	$954.99	$1,905.46
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $616.60 / $912.01	Professional		$389.05	$616.60	$912.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $331.13 / $645.65	Facility		$190.55	$331.13	$645.65
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $1,445.44 / $2,137.96 / $3,388.44	Facility	25	$1,445.44	$2,137.96	$3,388.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $707.95 / $1,348.96	Professional		$302.00	$707.95	$1,348.96
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $512.86 / $812.83 / $1,148.15	Professional	25	$512.86	$812.83	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $436.52 / $794.33	Professional		$229.09	$436.52	$794.33