Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,458.65 / $1,458.65 / $1,458.65	Facility		$1,458.65	$1,458.65	$1,458.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,458.65 / $1,708.29 / $2,133.15	Professional		$1,458.65	$1,708.29	$2,133.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,772.77 / $5,961.45 / $11,926.01	Facility		$2,772.77	$5,961.45	$11,926.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,241.39 / $3,413.59 / $5,137.47	Professional		$2,241.39	$3,413.59	$5,137.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,226.71 / $4,575.88 / $11,007.90	Facility		$3,226.71	$4,575.88	$11,007.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,621.31 / $4,266.18 / $6,187.02	Professional		$2,621.31	$4,266.18	$6,187.02
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,623.09 / $4,183.45 / $8,667.64	Facility		$2,623.09	$4,183.45	$8,667.64
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $2,190.59 / $3,515.90 / $5,233.75	Professional		$2,190.59	$3,515.90	$5,233.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,926.28 / $2,682.08 / $3,954.00	Facility		$1,926.28	$2,682.08	$3,954.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,748.66 / $3,037.48 / $5,997.74	Professional		$1,748.66	$3,037.48	$5,997.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,751.00 / $3,500.00 / $8,152.00	Facility		$1,751.00	$3,500.00	$8,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,867.85 / $3,396.76 / $5,697.92	Professional		$1,867.85	$3,396.76	$5,697.92