Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,205.82 / $1,205.82 / $6,781.00	Facility		$1,205.82	$1,205.82	$6,781.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $904.37 / $904.37 / $904.37	Facility	54	$904.37	$904.37	$904.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.76 / $5,179.68 / $10,152.41	Facility		$2,088.76	$5,179.68	$10,152.41
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,664.75 / $5,560.23 / $9,749.37	Facility	50	$3,664.75	$5,560.23	$9,749.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,924.52 / $4,149.47 / $9,982.10	Facility		$2,924.52	$4,149.47	$9,982.10
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $964.30 / $964.30 / $964.30	Facility	54	$964.30	$964.30	$964.30
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $137.76 / $137.76 / $137.76	Facility	AS	$137.76	$137.76	$137.76
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,658.65 / $3,793.61 / $7,859.93	Facility		$2,658.65	$3,793.61	$7,859.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,238.53 / $2,042.10 / $3,547.22	Facility		$1,238.53	$2,042.10	$3,547.22
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $2,179.83 / $2,179.83 / $2,179.83	Facility	54	$2,179.83	$2,179.83	$2,179.83
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $311.39 / $311.39 / $311.39	Facility	AS	$311.39	$311.39	$311.39
United Facility/Professional Facility Modifier Low / Median / High Price $3,940.00 / $7,872.00 / $11,531.00	Facility		$3,940.00	$7,872.00	$11,531.00