Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,657.92 / $1,657.92 / $1,657.92	Facility		$1,657.92	$1,657.92	$1,657.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,632.34 / $1,750.47 / $2,985.76	Professional		$1,632.34	$1,750.47	$2,985.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,533.65 / $4,024.79 / $13,797.74	Facility		$1,533.65	$4,024.79	$13,797.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,015.80 / $5,128.21 / $6,219.78	Professional		$3,015.80	$5,128.21	$6,219.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,867.83 / $6,036.67 / $14,522.04	Facility		$3,867.83	$6,036.67	$14,522.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,033.80 / $5,473.27 / $7,525.09	Professional		$3,033.80	$5,473.27	$7,525.09
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $3,351.81 / $5,508.86 / $11,434.68	Facility		$3,351.81	$5,508.86	$11,434.68
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $3,033.80 / $4,993.47 / $6,880.15	Professional		$3,033.80	$4,993.47	$6,880.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,639.62 / $2,801.88 / $5,132.22	Facility		$1,639.62	$2,801.88	$5,132.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,057.17 / $4,112.89 / $13,170.48	Professional		$2,057.17	$4,112.89	$13,170.48
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 $2,005.12 / $3,889.93 / $7,010.01	Professional		$2,005.12	$3,889.93	$7,010.01