Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,621.81	Professional		$870.96	$1,071.52	$1,621.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $12,589.25 / $24,547.09	Facility		$4,677.35	$12,589.25	$24,547.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $3,162.28	Professional		$1,318.26	$1,905.46	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,951.21 / $7,079.46	Facility		$2,089.30	$2,951.21	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,511.89 / $3,801.89	Professional		$1,659.59	$2,511.89	$3,801.89
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,818.38 / $5,623.41	Facility		$2,290.87	$2,818.38	$5,623.41
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,137.96 / $3,235.94	Professional		$1,584.89	$2,137.96	$3,235.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,238.72 / $12,302.69	Facility		$1,348.96	$2,238.72	$12,302.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,737.80 / $3,630.78	Professional		$1,047.13	$1,737.80	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $10,000.00 / $14,125.38	Facility		$4,897.79	$10,000.00	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,737.80 / $3,467.37	Professional		$1,122.02	$1,737.80	$3,467.37