Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $6,760.83	Facility		$1,047.13	$1,047.13	$6,760.83
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,786.30 / $9,120.11 / $14,791.08	Facility	50	$4,786.30	$9,120.11	$14,791.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $15,488.17 / $29,512.09	Facility		$6,606.93	$15,488.17	$29,512.09
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $15,488.17 / $27,542.29 / $69,183.10	Facility	50	$15,488.17	$27,542.29	$69,183.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,890.45 / $9,332.54	Facility		$2,754.23	$3,890.45	$9,332.54
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility	22	$2,238.72	$2,238.72	$2,238.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $186.21 / $186.21 / $186.21	Facility	AS	$186.21	$186.21	$186.21
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,801.89 / $7,413.10	Facility		$3,019.95	$3,801.89	$7,413.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,454.71 / $10,964.78	Facility		$1,412.54	$2,454.71	$10,964.78
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $4,265.80 / $6,918.31 / $18,197.01	Facility	50	$4,265.80	$6,918.31	$18,197.01
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $9,120.11 / $16,595.87	Facility		$4,466.84	$9,120.11	$16,595.87