Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,399.80 / $1,399.80 / $6,781.00	Facility		$1,399.80	$1,399.80	$6,781.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,370.25 / $1,399.80 / $2,383.30	Professional		$1,370.25	$1,399.80	$2,383.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,184.29 / $7,520.33 / $12,629.62	Facility		$4,184.29	$7,520.33	$12,629.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,410.55 / $3,890.28 / $4,945.35	Professional		$2,410.55	$3,890.28	$4,945.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,373.21 / $4,786.10 / $11,513.61	Facility		$3,373.21	$4,786.10	$11,513.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,513.67 / $4,004.21 / $5,946.87	Professional		$2,513.67	$4,004.21	$5,946.87
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $3,066.56 / $4,375.64 / $9,065.84	Facility		$3,066.56	$4,375.64	$9,065.84
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $2,275.80 / $3,598.39 / $5,453.63	Professional		$2,275.80	$3,598.39	$5,453.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,422.41 / $2,365.66 / $4,117.85	Facility		$1,422.41	$2,365.66	$4,117.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,506.68 / $2,734.28 / $5,505.42	Professional		$1,506.68	$2,734.28	$5,505.42
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 $1,574.84 / $2,807.50 / $5,225.60	Professional		$1,574.84	$2,807.50	$5,225.60