Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,700.05 / $6,398.00 / $14,659.49	Facility		$1,700.05	$6,398.00	$14,659.49
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $850.03 / $850.03 / $850.03	Facility	52	$850.03	$850.03	$850.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,099.96 / $23,344.86 / $46,771.99	Facility		$8,099.96	$23,344.86	$46,771.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,111.50 / $5,833.62 / $14,033.56	Facility		$4,111.50	$5,833.62	$14,033.56
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,554.50 / $1,554.50 / $1,554.50	Facility	52	$1,554.50	$1,554.50	$1,554.50
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $194.31 / $194.31 / $194.31	Facility	AS	$194.31	$194.31	$194.31
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $3,737.73 / $5,333.33 / $11,050.05	Facility		$3,737.73	$5,333.33	$11,050.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,754.06 / $3,185.78 / $9,309.26	Facility		$1,754.06	$3,185.78	$9,309.26
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $3,506.64 / $3,506.64 / $3,506.64	Facility	52	$3,506.64	$3,506.64	$3,506.64
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $438.33 / $438.33 / $438.33	Facility	AS	$438.33	$438.33	$438.33
United Facility/Professional Facility Modifier Low / Median / High Price $5,457.00 / $9,370.00 / $12,774.00	Facility		$5,457.00	$9,370.00	$12,774.00