Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $654.40 / $654.40 / $4,828.00	Facility		$654.40	$654.40	$4,828.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,015.50 / $12,197.67 / $25,424.06	Facility		$3,015.50	$12,197.67	$25,424.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,595.27 / $2,263.44 / $5,445.05	Facility		$1,595.27	$2,263.44	$5,445.05
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $74.48 / $74.48 / $74.48	Facility	AS	$74.48	$74.48	$74.48
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,450.24 / $2,069.34 / $4,287.43	Facility		$1,450.24	$2,069.34	$4,287.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $665.44 / $1,123.76 / $3,293.00	Facility		$665.44	$1,123.76	$3,293.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $169.24 / $169.24 / $169.24	Facility	AS	$169.24	$169.24	$169.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,121.00 / $5,499.00 / $9,810.00	Facility		$3,121.00	$5,499.00	$9,810.00