Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.37 / $891.37 / $891.37	Facility		$891.37	$891.37	$891.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.37 / $1,047.92 / $1,315.53	Professional		$891.37	$1,047.92	$1,315.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,847.56 / $10,083.07 / $20,316.56	Facility		$3,847.56	$10,083.07	$20,316.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,389.27 / $2,116.30 / $3,206.20	Professional		$1,389.27	$2,116.30	$3,206.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,981.85 / $2,810.51 / $6,761.05	Facility		$1,981.85	$2,810.51	$6,761.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,609.09 / $2,618.79 / $3,797.89	Professional		$1,609.09	$2,618.79	$3,797.89
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,611.10 / $2,569.48 / $5,323.66	Facility		$1,611.10	$2,569.48	$5,323.66
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,344.69 / $2,158.23 / $3,212.73	Professional		$1,344.69	$2,158.23	$3,212.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,354.50 / $1,836.82 / $12,367.00	Facility		$1,354.50	$1,836.82	$12,367.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,124.33 / $1,871.82 / $3,685.72	Professional		$1,124.33	$1,871.82	$3,685.72
United Facility/Professional Facility Modifier Low / Median / High Price $5,577.00 / $10,743.00 / $12,774.00	Facility		$5,577.00	$10,743.00	$12,774.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,165.69 / $2,087.37 / $3,602.46	Professional		$1,165.69	$2,087.37	$3,602.46