Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,127.14 / $1,127.14 / $1,127.14	Facility		$1,127.14	$1,127.14	$1,127.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $617.88 / $1,127.14 / $1,305.40	Professional		$617.88	$1,127.14	$1,305.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.76 / $1,345.68 / $1,873.84	Facility		$1,152.76	$1,345.68	$1,873.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,076.54 / $1,278.40 / $1,345.68	Professional		$1,076.54	$1,278.40	$1,345.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.50 / $4,151.64 / $11,530.85	Facility		$870.50	$4,151.64	$11,530.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,560.00 / $1,653.60 / $1,981.20	Professional		$1,560.00	$1,653.60	$1,981.20
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,464.78 / $3,983.30 / $9,079.41	Facility		$2,464.78	$3,983.30	$9,079.41
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $1,560.00 / $1,560.00 / $1,605.20	Professional		$1,560.00	$1,560.00	$1,605.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $446.41 / $1,345.68 / $7,424.54	Facility		$446.41	$1,345.68	$7,424.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $447.56 / $714.81 / $1,451.05	Professional		$447.56	$714.81	$1,451.05
United Facility/Professional Professional Modifier Low / Median / High Price $447.56 / $714.81 / $1,749.38	Professional		$447.56	$714.81	$1,749.38