Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $3,388.44 / $5,248.07	Facility		$1.00	$3,388.44	$5,248.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,096.48 / $2,570.40	Facility		$776.25	$1,096.48	$2,570.40
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $660.69 / $660.69 / $660.69	Facility	22	$660.69	$660.69	$660.69
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $346.74 / $346.74 / $346.74	Facility	62	$346.74	$346.74	$346.74
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $54.95 / $54.95 / $54.95	Facility	AS	$54.95	$54.95	$54.95
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,047.13 / $2,041.74	Facility		$831.76	$1,047.13	$2,041.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $602.56 / $5,888.44	Facility		$331.13	$602.56	$5,888.44
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility	62	$4,168.69	$4,168.69	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $5,888.44 / $12,882.50	Facility		$1,445.44	$5,888.44	$12,882.50