Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,567.38 / $1,567.38 / $1,567.38	Facility		$1,567.38	$1,567.38	$1,567.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,457.50 / $1,567.38 / $1,901.73	Professional		$1,457.50	$1,567.38	$1,901.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,546.19 / $3,005.99 / $3,136.68	Facility		$2,546.19	$3,005.99	$3,136.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,039.79 / $2,549.73 / $2,744.60	Professional		$2,039.79	$2,549.73	$2,744.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,450.41 / $1,450.41 / $6,569.66	Facility		$1,450.41	$1,450.41	$6,569.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,030.00 / $3,151.20 / $3,848.10	Professional		$3,030.00	$3,151.20	$3,848.10
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $4,647.24 / $4,647.24 / $5,172.96	Facility		$4,647.24	$4,647.24	$5,172.96
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $3,030.00 / $3,030.00 / $3,030.00	Professional		$3,030.00	$3,030.00	$3,030.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $261.39 / $630.20 / $11,728.00	Facility		$261.39	$630.20	$11,728.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $733.34 / $1,113.21 / $2,390.16	Professional		$733.34	$1,113.21	$2,390.16
United Facility/Professional Professional Modifier Low / Median / High Price $733.34 / $1,228.33 / $2,829.13	Professional		$733.34	$1,228.33	$2,829.13