Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,485.00 / $1,485.00 / $1,485.00	Facility		$1,485.00	$1,485.00	$1,485.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,188.00 / $1,232.55 / $1,485.00	Professional		$1,188.00	$1,232.55	$1,485.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,246.16 / $1,633.85 / $2,797.63	Facility		$1,246.16	$1,633.85	$2,797.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,009.80 / $1,262.25 / $1,388.48	Professional		$1,009.80	$1,262.25	$1,388.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,473.76 / $4,256.97 / $5,182.59	Facility		$2,473.76	$4,256.97	$5,182.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,349.87 / $1,568.16 / $1,697.36	Professional		$1,349.87	$1,568.16	$1,697.36
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,133.77 / $3,763.58 / $4,875.55	Facility		$2,133.77	$3,763.58	$4,875.55
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,336.50 / $1,336.50 / $1,425.60	Professional		$1,336.50	$1,336.50	$1,425.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $6,558.75 / $6,558.75 / $6,558.75	Facility		$6,558.75	$6,558.75	$6,558.75