Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,101.19 / $1,436.14 / $6,781.00	Facility		$1,101.19	$1,436.14	$6,781.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,101.19 / $1,436.14 / $2,517.25	Professional		$1,101.19	$1,436.14	$2,517.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,776.56 / $9,984.76 / $21,650.55	Facility		$4,776.56	$9,984.76	$21,650.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,155.69 / $3,522.89 / $5,317.66	Professional		$2,155.69	$3,522.89	$5,317.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,688.27 / $5,230.43 / $12,582.51	Facility		$3,688.27	$5,230.43	$12,582.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,499.07 / $4,485.51 / $6,429.21	Professional		$2,499.07	$4,485.51	$6,429.21
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,998.30 / $4,781.87 / $9,907.49	Facility		$2,998.30	$4,781.87	$9,907.49
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $2,261.69 / $3,712.32 / $5,948.77	Professional		$2,261.69	$3,712.32	$5,948.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,572.23 / $2,363.88 / $7,872.00	Facility		$1,572.23	$2,363.88	$7,872.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,846.42 / $4,130.18 / $10,255.37	Professional		$1,846.42	$4,130.18	$10,255.37
United Facility/Professional Facility Modifier Low / Median / High Price $3,940.00 / $8,689.00 / $11,531.00	Facility		$3,940.00	$8,689.00	$11,531.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,810.70 / $3,697.78 / $5,992.79	Professional		$1,810.70	$3,697.78	$5,992.79