Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,649.70 / $1,649.70 / $1,649.70	Facility		$1,649.70	$1,649.70	$1,649.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,351.35 / $1,649.70 / $1,649.70	Professional		$1,351.35	$1,649.70	$1,649.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $1,950.00 / $1,950.00	Facility		$1,755.00	$1,950.00	$1,950.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,560.00 / $1,950.00 / $1,950.00	Professional		$1,560.00	$1,950.00	$1,950.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,240.47 / $7,112.86 / $17,110.95	Facility		$4,240.47	$7,112.86	$17,110.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,262.92 / $2,845.47 / $3,947.83	Professional		$2,262.92	$2,845.47	$3,947.83
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $3,887.42 / $6,502.86 / $13,473.19	Facility		$3,887.42	$6,502.86	$13,473.19
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $2,240.53 / $2,240.53 / $3,541.44	Professional		$2,240.53	$2,240.53	$3,541.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $3,412.50 / $5,317.65	Facility		$1,950.00	$3,412.50	$5,317.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $965.25 / $1,404.00 / $4,627.58	Professional		$965.25	$1,404.00	$4,627.58
United Facility/Professional Professional Modifier Low / Median / High Price $895.05 / $1,755.00 / $3,737.55	Professional		$895.05	$1,755.00	$3,737.55