Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $9,772.37	Facility		$4,897.79	$4,897.79	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $5,370.32	Professional		$4,897.79	$4,897.79	$5,370.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,548.82 / $1,659.59	Facility		$1,047.13	$1,548.82	$1,659.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $3,981.07 / $4,897.79	Professional		$912.01	$3,981.07	$4,897.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,548.13 / $4,265.80	Facility		$1,905.46	$3,548.13	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,888.44 / $6,309.57	Professional		$5,011.87	$5,888.44	$6,309.57
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,388.44 / $3,981.07	Facility		$2,818.38	$3,388.44	$3,981.07
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $6,760.83	Professional		$5,011.87	$5,011.87	$6,760.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,862.09	Facility		$1,047.13	$1,047.13	$1,862.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,380.38	Professional		$1,047.13	$1,047.13	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Facility		$4,897.79	$4,897.79	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $4,897.79 / $6,918.31	Professional		$1,380.38	$4,897.79	$6,918.31