Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $2,630.27	Professional		$1,174.90	$1,380.38	$2,630.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,570.40 / $10,471.29	Facility		$1,096.48	$2,570.40	$10,471.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,235.94 / $4,677.35	Professional		$2,089.30	$3,235.94	$4,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,466.84 / $10,715.19	Facility		$2,818.38	$4,466.84	$10,715.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,388.44 / $5,248.07	Professional		$2,041.74	$3,388.44	$5,248.07
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,265.80 / $8,317.64	Facility		$3,467.37	$4,265.80	$8,317.64
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,090.30 / $4,897.79	Professional		$2,137.96	$3,090.30	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,862.09 / $3,630.78	Facility		$1,174.90	$1,862.09	$3,630.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,454.71 / $9,332.54	Professional		$1,318.26	$2,454.71	$9,332.54
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 $1,288.25 / $2,290.87 / $4,466.84	Professional		$1,288.25	$2,290.87	$4,466.84