Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,342.27 / $1,342.27 / $1,342.27	Facility		$1,342.27	$1,342.27	$1,342.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $887.00 / $1,342.27 / $1,405.48	Professional		$887.00	$1,342.27	$1,405.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,654.85 / $1,931.80 / $2,689.98	Facility		$1,654.85	$1,931.80	$2,689.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,545.44 / $1,835.21 / $1,931.80	Professional		$1,545.44	$1,835.21	$1,931.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.09 / $5,960.04 / $16,553.50	Facility		$1,207.09	$5,960.04	$16,553.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,239.50 / $2,373.87 / $2,844.17	Professional		$2,239.50	$2,373.87	$2,844.17
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $3,538.41 / $5,718.37 / $13,034.26	Facility		$3,538.41	$5,718.37	$13,034.26
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $2,239.50 / $2,239.50 / $2,304.40	Professional		$2,239.50	$2,239.50	$2,304.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $640.85 / $1,931.80 / $9,986.98	Facility		$640.85	$1,931.80	$9,986.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $642.50 / $963.76 / $2,124.98	Professional		$642.50	$963.76	$2,124.98
United Facility/Professional Professional Modifier Low / Median / High Price $642.50 / $963.76 / $2,062.42	Professional		$642.50	$963.76	$2,062.42