Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.16 / $1,002.16 / $4,828.00	Facility		$1,002.16	$1,002.16	$4,828.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $982.04 / $1,008.23 / $1,602.05	Professional		$982.04	$1,008.23	$1,602.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,677.15 / $6,337.44 / $11,491.08	Facility		$3,677.15	$6,337.44	$11,491.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,759.25 / $2,839.61 / $3,582.65	Professional		$1,759.25	$2,839.61	$3,582.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,395.85 / $3,399.36 / $8,177.63	Facility		$2,395.85	$3,399.36	$8,177.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,792.98 / $2,856.17 / $4,241.85	Professional		$1,792.98	$2,856.17	$4,241.85
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,178.04 / $3,107.83 / $6,439.08	Facility		$2,178.04	$3,107.83	$6,439.08
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,623.30 / $2,555.78 / $3,890.02	Professional		$1,623.30	$2,555.78	$3,890.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,036.42 / $1,693.80 / $3,307.00	Facility		$1,036.42	$1,693.80	$3,307.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,102.16 / $2,002.78 / $4,049.11	Professional		$1,102.16	$2,002.78	$4,049.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,388.00 / $3,500.00 / $6,361.00	Facility		$1,388.00	$3,500.00	$6,361.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,123.56 / $2,028.66 / $3,858.61	Professional		$1,123.56	$2,028.66	$3,858.61