Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.26 / $1,169.26 / $1,169.26	Facility		$1,169.26	$1,169.26	$1,169.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,169.26 / $1,270.39 / $1,563.89	Professional		$1,169.26	$1,270.39	$1,563.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,045.81 / $7,245.88 / $12,643.17	Facility		$4,045.81	$7,245.88	$12,643.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,194.57 / $3,400.24 / $4,770.95	Professional		$2,194.57	$3,400.24	$4,770.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,125.64 / $4,432.55 / $10,663.09	Facility		$3,125.64	$4,432.55	$10,663.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,527.50 / $4,273.53 / $6,063.81	Professional		$2,527.50	$4,273.53	$6,063.81
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,540.92 / $4,052.41 / $8,396.14	Facility		$2,540.92	$4,052.41	$8,396.14
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $2,225.21 / $3,808.02 / $5,046.43	Professional		$2,225.21	$3,808.02	$5,046.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,541.56 / $2,473.25 / $11,496.00	Facility		$1,541.56	$2,473.25	$11,496.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,690.34 / $3,286.92 / $7,068.00	Professional		$1,690.34	$3,286.92	$7,068.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,028.00 / $11,496.00 / $21,528.00	Facility		$5,028.00	$11,496.00	$21,528.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,732.68 / $3,127.16 / $5,137.58	Professional		$1,732.68	$3,127.16	$5,137.58