Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,384.92 / $1,384.92 / $1,384.92	Facility		$1,384.92	$1,384.92	$1,384.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,384.92 / $1,541.92 / $2,550.25	Professional		$1,384.92	$1,541.92	$2,550.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,662.57 / $8,823.57 / $14,508.52	Facility		$4,662.57	$8,823.57	$14,508.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,664.50 / $4,532.39 / $5,497.15	Professional		$2,664.50	$4,532.39	$5,497.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,218.09 / $5,022.60 / $12,082.54	Facility		$3,218.09	$5,022.60	$12,082.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,551.53 / $4,561.63 / $6,266.21	Professional		$2,551.53	$4,561.63	$6,266.21
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,788.76 / $4,583.45 / $9,513.81	Facility		$2,788.76	$4,583.45	$9,513.81
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $2,526.27 / $4,158.10 / $5,729.16	Professional		$2,526.27	$4,158.10	$5,729.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,505.73 / $2,525.82 / $4,326.08	Facility		$1,505.73	$2,525.82	$4,326.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,832.89 / $3,568.10 / $12,327.05	Professional		$1,832.89	$3,568.10	$12,327.05
United Facility/Professional Facility Modifier Low / Median / High Price $796.00 / $3,500.00 / $8,152.00	Facility		$796.00	$3,500.00	$8,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,716.25 / $3,267.54 / $6,245.73	Professional		$1,716.25	$3,267.54	$6,245.73