Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $974.60 / $974.60 / $974.60	Facility		$974.60	$974.60	$974.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $974.60 / $1,036.41 / $1,505.29	Professional		$974.60	$1,036.41	$1,505.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,485.25 / $7,107.25 / $13,799.94	Facility		$4,485.25	$7,107.25	$13,799.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,729.98 / $2,666.90 / $3,741.99	Professional		$1,729.98	$2,666.90	$3,741.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,473.73 / $3,508.06 / $8,439.10	Facility		$2,473.73	$3,508.06	$8,439.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,012.21 / $3,382.21 / $4,827.56	Professional		$2,012.21	$3,382.21	$4,827.56
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,010.96 / $3,207.20 / $6,644.96	Facility		$2,010.96	$3,207.20	$6,644.96
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,771.56 / $3,031.67 / $4,017.61	Professional		$1,771.56	$3,031.67	$4,017.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,365.46 / $1,771.13 / $3,378.00	Facility		$1,365.46	$1,771.13	$3,378.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,340.03 / $2,685.58 / $5,391.56	Professional		$1,340.03	$2,685.58	$5,391.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,751.00 / $3,500.00 / $8,152.00	Facility		$1,751.00	$3,500.00	$8,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.94 / $2,876.41 / $4,155.47	Professional		$1,380.94	$2,876.41	$4,155.47