Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $2,344.23	Professional		$1,258.93	$1,513.56	$2,344.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $5,248.07 / $19,054.61	Facility		$2,630.27	$5,248.07	$19,054.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,754.23 / $4,570.88	Professional		$1,905.46	$2,754.23	$4,570.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $4,365.16 / $10,232.93	Facility		$3,019.95	$4,365.16	$10,232.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,630.78 / $5,495.41	Professional		$2,398.83	$3,630.78	$5,495.41
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,168.69 / $8,128.31	Facility		$3,311.31	$4,168.69	$8,128.31
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,090.30 / $4,677.35	Professional		$2,290.87	$3,090.30	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $3,981.07	Facility		$1,737.80	$2,398.83	$3,981.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,570.40 / $5,248.07	Professional		$1,513.56	$2,570.40	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,467.37 / $8,511.38	Facility		$1,584.89	$3,467.37	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,570.40 / $5,128.61	Professional		$1,621.81	$2,570.40	$5,128.61