Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,102.20 / $1,102.20 / $2,525.00	Facility		$1,102.20	$1,102.20	$2,525.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,037.23 / $1,135.32 / $1,903.07	Professional		$1,037.23	$1,135.32	$1,903.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,307.53 / $12,222.68 / $24,627.71	Facility		$5,307.53	$12,222.68	$24,627.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,988.51 / $3,209.67 / $4,200.31	Professional		$1,988.51	$3,209.67	$4,200.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,723.32 / $3,864.00 / $9,295.37	Facility		$2,723.32	$3,864.00	$9,295.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.96 / $3,252.80 / $4,830.91	Professional		$2,041.96	$3,252.80	$4,830.91
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,475.75 / $3,532.62 / $7,319.19	Facility		$2,475.75	$3,532.62	$7,319.19
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,848.73 / $2,908.22 / $4,430.22	Professional		$1,848.73	$2,908.22	$4,430.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,161.33 / $1,924.88 / $4,278.88	Facility		$1,161.33	$1,924.88	$4,278.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,250.58 / $2,249.64 / $4,629.14	Professional		$1,250.58	$2,249.64	$4,629.14
United Facility/Professional Facility Modifier Low / Median / High Price $3,940.00 / $7,872.00 / $11,531.00	Facility		$3,940.00	$7,872.00	$11,531.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,250.58 / $2,328.38 / $4,495.25	Professional		$1,250.58	$2,328.38	$4,495.25