Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $12,022.64 / $19,952.62	Facility		$4,897.79	$12,022.64	$19,952.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,659.59 / $6,025.60	Professional		$1,148.15	$1,659.59	$6,025.60
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $162.18 / $331.13 / $1,023.29	Professional	AS	$162.18	$331.13	$1,023.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $25,703.96 / $58,884.37	Facility		$8,128.31	$25,703.96	$58,884.37
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $30,199.52 / $53,703.18 / $138,038.43	Facility	50	$30,199.52	$53,703.18	$138,038.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,570.88 / $10,964.78	Facility		$3,235.94	$4,570.88	$10,964.78
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility	22	$2,630.27	$2,630.27	$2,630.27
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility	54	$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $218.78 / $218.78 / $218.78	Facility	AS	$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,715.35 / $5,623.41	Professional		$2,187.76	$3,715.35	$5,623.41
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,365.16 / $8,511.38	Facility		$3,467.37	$4,365.16	$8,511.38
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,311.31 / $4,897.79	Professional		$2,344.23	$3,311.31	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $7,585.78 / $16,218.10	Facility		$1,995.26	$7,585.78	$16,218.10
Medica Facility/Professional Facility Modifier 22 Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Facility	22	$8,317.64	$8,317.64	$8,317.64
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $16,218.10 / $17,782.79 / $20,417.38	Facility	50	$16,218.10	$17,782.79	$20,417.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,467.37 / $11,220.18	Professional		$1,659.59	$3,467.37	$11,220.18
Medica Facility/Professional Professional Modifier AS Low / Median / High Price $158.49 / $295.12 / $446.68	Professional	AS	$158.49	$295.12	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $10,964.78 / $29,512.09	Facility		$1,584.89	$10,964.78	$29,512.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,344.23 / $4,677.35	Professional		$1,380.38	$2,344.23	$4,677.35