Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,458.59 / $1,458.59 / $7,859.00	Facility		$1,458.59	$1,458.59	$7,859.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,910.95 / $12,197.67 / $25,424.06	Facility		$2,910.95	$12,197.67	$25,424.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,526.43 / $5,003.49 / $12,036.57	Facility		$3,526.43	$5,003.49	$12,036.57
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,073.02 / $1,073.02 / $1,073.02	Facility	62	$1,073.02	$1,073.02	$1,073.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $171.68 / $171.68 / $171.68	Facility	AS	$171.68	$171.68	$171.68
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $3,205.84 / $4,574.39 / $9,477.61	Facility		$3,205.84	$4,574.39	$9,477.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,545.42 / $2,525.31 / $5,028.00	Facility		$1,545.42	$2,525.31	$5,028.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $2,353.94 / $4,054.93 / $5,132.57	Facility	62	$2,353.94	$4,054.93	$5,132.57
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $376.63 / $376.63 / $376.63	Facility	AS	$376.63	$376.63	$376.63
United Facility/Professional Facility Modifier Low / Median / High Price $5,028.00 / $11,496.00 / $21,528.00	Facility		$5,028.00	$11,496.00	$21,528.00