Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $512.86 / $776.25	Facility		$95.50	$512.86	$776.25
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $776.25 / $1,000.00 / $6,025.60	Facility	25	$776.25	$1,000.00	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $181.97 / $851.14	Professional		$91.20	$181.97	$851.14
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $123.03 / $407.38 / $1,995.26	Professional	25	$123.03	$407.38	$1,995.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $1,348.96	Facility		$616.60	$616.60	$1,348.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $371.54	Professional		$169.82	$263.03	$371.54
BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $134.90 / $208.93 / $295.12	Professional	25	$134.90	$208.93	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $380.19 / $1,047.13	Facility		$245.47	$380.19	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $269.15 / $446.68	Professional		$123.03	$269.15	$446.68
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $416.87 / $812.83	Facility		$269.15	$416.87	$812.83
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $288.40 / $416.87	Professional		$181.97	$288.40	$416.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $154.88 / $309.03	Facility		$95.50	$154.88	$309.03
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $741.31 / $741.31 / $741.31	Facility	25	$741.31	$741.31	$741.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $295.12 / $1,174.90	Professional		$125.89	$295.12	$1,174.90
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $257.04 / $331.13 / $562.34	Professional	25	$257.04	$331.13	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $204.17 / $363.08	Professional		$109.65	$204.17	$363.08