Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,708.56 / $12,600.00 / $16,069.73	Facility		$1,708.56	$12,600.00	$16,069.73
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $942.84 / $942.84 / $942.84	Facility	54	$942.84	$942.84	$942.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,201.17 / $2,060.71 / $17,935.71	Professional		$1,201.17	$2,060.71	$17,935.71
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $35.40 / $162.78 / $1,075.73	Professional	AS	$35.40	$162.78	$1,075.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,371.67 / $22,897.69 / $46,771.99	Facility		$6,371.67	$22,897.69	$46,771.99
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $30,010.15 / $45,531.96 / $79,836.27	Facility	50	$30,010.15	$45,531.96	$79,836.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,238.08 / $3,591.82 / $4,700.39	Professional		$2,238.08	$3,591.82	$4,700.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,046.58 / $4,322.66 / $10,398.74	Facility		$3,046.58	$4,322.66	$10,398.74
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,008.15 / $1,008.15 / $1,008.15	Facility	54	$1,008.15	$1,008.15	$1,008.15
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $900.13 / $900.13 / $900.13	Facility	62	$900.13	$900.13	$900.13
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $144.02 / $144.02 / $144.02	Facility	AS	$144.02	$144.02	$144.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,284.69 / $3,709.48 / $5,859.70	Professional		$2,284.69	$3,709.48	$5,859.70
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,769.62 / $3,951.95 / $8,187.99	Facility		$2,769.62	$3,951.95	$8,187.99
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $2,068.48 / $3,286.80 / $5,026.60	Professional		$2,068.48	$3,286.80	$5,026.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,821.81 / $5,744.58 / $15,536.85	Facility		$1,821.81	$5,744.58	$15,536.85
Medica Facility/Professional Facility Modifier 22 Low / Median / High Price $9,106.78 / $9,106.78 / $9,106.78	Facility	22	$9,106.78	$9,106.78	$9,106.78
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $16,548.78 / $17,937.00 / $24,779.85	Facility	50	$16,548.78	$17,937.00	$24,779.85
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $2,273.19 / $2,273.19 / $2,273.19	Facility	54	$2,273.19	$2,273.19	$2,273.19
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $2,029.64 / $2,029.64 / $2,029.64	Facility	62	$2,029.64	$2,029.64	$2,029.64
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $324.74 / $324.74 / $324.74	Facility	AS	$324.74	$324.74	$324.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,684.53 / $3,172.55 / $13,550.61	Professional		$1,684.53	$3,172.55	$13,550.61
United Facility/Professional Facility Modifier Low / Median / High Price $5,677.00 / $11,496.00 / $26,630.00	Facility		$5,677.00	$11,496.00	$26,630.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,457.52 / $2,501.42 / $5,165.01	Professional		$1,457.52	$2,501.42	$5,165.01