Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,697.70 / $10,020.32 / $14,893.83	Facility		$3,697.70	$10,020.32	$14,893.83
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $12,347.62 / $12,347.62 / $12,347.62	Facility	22	$12,347.62	$12,347.62	$12,347.62
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $941.96 / $941.96 / $941.96	Facility	54	$941.96	$941.96	$941.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,199.52 / $1,624.11 / $7,048.57	Professional		$1,199.52	$1,624.11	$7,048.57
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $85.95 / $234.64 / $1,103.32	Professional	AS	$85.95	$234.64	$1,103.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,368.41 / $22,897.69 / $46,771.99	Facility		$6,368.41	$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 $2,244.78 / $3,596.65 / $4,651.89	Professional		$2,244.78	$3,596.65	$4,651.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,041.53 / $4,315.49 / $10,381.50	Facility		$3,041.53	$4,315.49	$10,381.50
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,006.58 / $1,006.58 / $1,006.58	Facility	54	$1,006.58	$1,006.58	$1,006.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $143.80 / $143.80 / $143.80	Facility	AS	$143.80	$143.80	$143.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,281.57 / $3,704.40 / $5,851.68	Professional		$2,281.57	$3,704.40	$5,851.68
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,765.03 / $3,945.40 / $8,174.41	Facility		$2,765.03	$3,945.40	$8,174.41
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $2,065.66 / $3,282.30 / $5,019.72	Professional		$2,065.66	$3,282.30	$5,019.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,946.82 / $5,963.46 / $15,259.41	Facility		$1,946.82	$5,963.46	$15,259.41
Medica Facility/Professional Facility Modifier 22 Low / Median / High Price $8,276.31 / $8,276.31 / $8,276.31	Facility	22	$8,276.31	$8,276.31	$8,276.31
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $16,322.64 / $17,589.28 / $20,403.54	Facility	50	$16,322.64	$17,589.28	$20,403.54
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $2,270.53 / $2,270.53 / $2,270.53	Facility	54	$2,270.53	$2,270.53	$2,270.53
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $324.36 / $324.36 / $324.36	Facility	AS	$324.36	$324.36	$324.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,710.87 / $3,280.91 / $10,857.94	Professional		$1,710.87	$3,280.91	$10,857.94
Medica Facility/Professional Professional Modifier AS Low / Median / High Price $157.97 / $296.52 / $450.72	Professional	AS	$157.97	$296.52	$450.72
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 $1,477.75 / $2,666.72 / $5,158.43	Professional		$1,477.75	$2,666.72	$5,158.43