Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $7,079.46	Facility		$1,202.26	$1,202.26	$7,079.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $5,623.41 / $12,022.64	Facility		$2,511.89	$5,623.41	$12,022.64
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,801.89 / $6,760.83 / $16,982.44	Facility	50	$3,801.89	$6,760.83	$16,982.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $4,365.16 / $10,471.29	Facility		$3,090.30	$4,365.16	$10,471.29
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility	22	$2,511.89	$2,511.89	$2,511.89
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility	54	$1,445.44	$1,445.44	$1,445.44
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $208.93 / $208.93 / $208.93	Facility	AS	$208.93	$208.93	$208.93
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,265.80 / $8,128.31	Facility		$3,388.44	$4,265.80	$8,128.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,089.30 / $5,370.32	Facility		$1,230.27	$2,089.30	$5,370.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,754.40 / $12,589.25	Facility		$1,584.89	$5,754.40	$12,589.25