Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,089.30 / $3,801.89	Professional		$1,778.28	$2,089.30	$3,801.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,388.44 / $15,848.93	Facility		$1,479.11	$3,388.44	$15,848.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,786.30 / $7,079.46	Professional		$3,162.28	$4,786.30	$7,079.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $6,760.83 / $16,218.10	Facility		$4,265.80	$6,760.83	$16,218.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $5,128.61 / $7,943.28	Professional		$3,090.30	$5,128.61	$7,943.28
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $6,456.54 / $12,589.25	Facility		$5,248.07	$6,456.54	$12,589.25
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,677.35 / $7,244.36	Professional		$3,235.94	$4,677.35	$7,244.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,691.53 / $5,495.41	Facility		$1,778.28	$2,691.53	$5,495.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,630.78 / $14,125.38	Professional		$1,995.26	$3,630.78	$14,125.38
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,311.31 / $8,511.38	Facility		$794.33	$3,311.31	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,388.44 / $6,606.93	Professional		$1,949.84	$3,388.44	$6,606.93