Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,148.15 / $1,698.24	Professional		$1,000.00	$1,148.15	$1,698.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,943.28 / $22,908.68	Facility		$3,890.45	$7,943.28	$22,908.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,398.83 / $3,890.45	Professional		$1,621.81	$2,398.83	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,890.45 / $9,332.54	Facility		$2,754.23	$3,890.45	$9,332.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,311.31 / $5,011.87	Professional		$2,187.76	$3,311.31	$5,011.87
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,715.35 / $7,413.10	Facility		$3,019.95	$3,715.35	$7,413.10
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,818.38 / $4,265.80	Professional		$1,995.26	$2,818.38	$4,265.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,995.26 / $3,467.37	Facility		$1,258.93	$1,995.26	$3,467.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,187.76 / $5,888.44	Professional		$1,258.93	$2,187.76	$5,888.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,467.37 / $8,511.38	Facility		$1,584.89	$3,467.37	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,137.96 / $4,265.80	Professional		$1,202.26	$2,137.96	$4,265.80