Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,241.01 / $1,241.01 / $7,859.00	Facility		$1,241.01	$1,241.01	$7,859.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,129.54 / $12,197.67 / $25,424.06	Facility		$5,129.54	$12,197.67	$25,424.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,015.44 / $4,278.47 / $10,292.43	Facility		$3,015.44	$4,278.47	$10,292.43
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $925.06 / $925.06 / $925.06	Facility	62	$925.06	$925.06	$925.06
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $148.01 / $148.01 / $148.01	Facility	AS	$148.01	$148.01	$148.01
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,741.30 / $3,911.54 / $8,104.28	Facility		$2,741.30	$3,911.54	$8,104.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,321.40 / $2,157.07 / $3,741.63	Facility		$1,321.40	$2,157.07	$3,741.63
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $2,007.47 / $2,007.47 / $2,007.47	Facility	62	$2,007.47	$2,007.47	$2,007.47
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $321.20 / $321.20 / $321.20	Facility	AS	$321.20	$321.20	$321.20
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