Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,016.11 / $1,016.11 / $4,828.00	Facility		$1,016.11	$1,016.11	$4,828.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $973.39 / $1,036.93 / $1,628.26	Professional		$973.39	$1,036.93	$1,628.26
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 $1,792.65 / $2,893.54 / $3,723.49	Professional		$1,792.65	$2,893.54	$3,723.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,484.23 / $3,524.78 / $8,479.33	Facility		$2,484.23	$3,524.78	$8,479.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,866.17 / $2,972.77 / $4,415.01	Professional		$1,866.17	$2,972.77	$4,415.01
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,258.40 / $3,222.49 / $6,676.64	Facility		$2,258.40	$3,222.49	$6,676.64
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,689.57 / $2,657.85 / $4,048.83	Professional		$1,689.57	$2,657.85	$4,048.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,040.51 / $1,929.78 / $4,746.00	Facility		$1,040.51	$1,929.78	$4,746.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,146.65 / $2,083.30 / $4,144.24	Professional		$1,146.65	$2,083.30	$4,144.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,356.00 / $3,312.00 / $8,193.00	Facility		$1,356.00	$3,312.00	$8,193.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,146.65 / $1,983.82 / $3,961.02	Professional		$1,146.65	$1,983.82	$3,961.02