Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,344.18 / $1,344.18 / $1,344.18	Facility		$1,344.18	$1,344.18	$1,344.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,344.18 / $1,436.05 / $2,091.17	Professional		$1,344.18	$1,436.05	$2,091.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,902.24 / $6,402.78 / $12,549.80	Facility		$2,902.24	$6,402.78	$12,549.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,485.54 / $3,832.43 / $5,377.36	Professional		$2,485.54	$3,832.43	$5,377.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,377.48 / $4,789.68 / $11,522.23	Facility		$3,377.48	$4,789.68	$11,522.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,747.07 / $4,617.85 / $6,590.60	Professional		$2,747.07	$4,617.85	$6,590.60
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,745.65 / $4,378.92 / $9,072.62	Facility		$2,745.65	$4,378.92	$9,072.62
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $2,418.54 / $4,138.84 / $5,484.85	Professional		$2,418.54	$4,138.84	$5,484.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,752.20 / $2,417.82 / $3,534.09	Facility		$1,752.20	$2,417.82	$3,534.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,937.56 / $3,686.21 / $7,400.43	Professional		$1,937.56	$3,686.21	$7,400.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.00 / $3,236.00 / $5,530.00	Facility		$1,445.00	$3,236.00	$5,530.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,955.07 / $3,393.91 / $5,795.25	Professional		$1,955.07	$3,393.91	$5,795.25