Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,104.80 / $1,104.80 / $6,781.00	Facility		$1,104.80	$1,104.80	$6,781.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,074.88 / $1,142.14 / $1,833.62	Professional		$1,074.88	$1,142.14	$1,833.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,696.02 / $6,563.86 / $12,629.62	Facility		$1,696.02	$6,563.86	$12,629.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,887.13 / $3,054.87 / $3,986.15	Professional		$1,887.13	$3,054.87	$3,986.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,669.44 / $3,787.55 / $9,111.46	Facility		$2,669.44	$3,787.55	$9,111.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,987.54 / $3,166.10 / $4,702.14	Professional		$1,987.54	$3,166.10	$4,702.14
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,426.77 / $3,462.73 / $7,174.39	Facility		$2,426.77	$3,462.73	$7,174.39
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,799.45 / $2,847.64 / $4,312.14	Professional		$1,799.45	$2,847.64	$4,312.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,130.47 / $1,867.11 / $3,250.04	Facility		$1,130.47	$1,867.11	$3,250.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,218.75 / $2,274.54 / $4,295.35	Professional		$1,218.75	$2,274.54	$4,295.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,940.00 / $7,872.00 / $11,531.00	Facility		$3,940.00	$7,872.00	$11,531.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,141.19 / $2,173.34 / $4,276.68	Professional		$1,141.19	$2,173.34	$4,276.68