Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,194.27 / $1,194.27 / $1,194.27	Facility		$1,194.27	$1,194.27	$1,194.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,194.27 / $1,369.14 / $2,192.03	Professional		$1,194.27	$1,369.14	$2,192.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,469.31 / $5,827.15 / $17,352.93	Facility		$2,469.31	$5,827.15	$17,352.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,232.69 / $3,441.90 / $4,829.39	Professional		$2,232.69	$3,441.90	$4,829.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,189.65 / $4,523.33 / $10,881.47	Facility		$3,189.65	$4,523.33	$10,881.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,593.44 / $4,361.05 / $6,222.01	Professional		$2,593.44	$4,361.05	$6,222.01
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,592.96 / $4,135.39 / $8,568.09	Facility		$2,592.96	$4,135.39	$8,568.09
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $2,283.28 / $3,907.37 / $5,178.10	Professional		$2,283.28	$3,907.37	$5,178.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,769.66 / $2,283.14 / $3,702.39	Facility		$1,769.66	$2,283.14	$3,702.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,734.68 / $3,470.51 / $5,373.04	Professional		$1,734.68	$3,470.51	$5,373.04
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 $1,755.84 / $3,195.31 / $5,351.08	Professional		$1,755.84	$3,195.31	$5,351.08