Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,289.64 / $1,289.64 / $6,575.00	Facility		$1,289.64	$1,289.64	$6,575.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,257.05 / $1,303.99 / $2,039.20	Professional		$1,257.05	$1,303.99	$2,039.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,982.10 / $22,897.69 / $46,771.99	Facility		$5,982.10	$22,897.69	$46,771.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,258.09 / $3,644.82 / $4,769.76	Professional		$2,258.09	$3,644.82	$4,769.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,124.87 / $4,433.74 / $10,665.97	Facility		$3,124.87	$4,433.74	$10,665.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,338.50 / $3,725.17 / $5,532.46	Professional		$2,338.50	$3,725.17	$5,532.46
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,840.79 / $4,053.50 / $8,398.40	Facility		$2,840.79	$4,053.50	$8,398.40
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $2,117.19 / $3,333.47 / $5,073.59	Professional		$2,117.19	$3,333.47	$5,073.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,289.64 / $2,194.78 / $5,577.00	Facility		$1,289.64	$2,194.78	$5,577.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,379.09 / $2,479.64 / $5,086.74	Professional		$1,379.09	$2,479.64	$5,086.74
United Facility/Professional Facility Modifier Low / Median / High Price $5,457.00 / $9,370.00 / $12,774.00	Facility		$5,457.00	$9,370.00	$12,774.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,405.87 / $2,619.81 / $5,066.47	Professional		$1,405.87	$2,619.81	$5,066.47