Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,376.31 / $1,376.31 / $7,859.00	Facility		$1,376.31	$1,376.31	$7,859.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $688.16 / $688.16 / $688.16	Facility	52	$688.16	$688.16	$688.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,498.56 / $22,897.69 / $46,771.99	Facility		$6,498.56	$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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,336.17 / $4,733.55 / $11,387.19	Facility		$3,336.17	$4,733.55	$11,387.19
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,259.83 / $1,259.83 / $1,259.83	Facility	52	$1,259.83	$1,259.83	$1,259.83
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $157.47 / $157.47 / $157.47	Facility	AS	$157.47	$157.47	$157.47
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $3,032.88 / $4,327.60 / $8,966.29	Facility		$3,032.88	$4,327.60	$8,966.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,423.94 / $2,394.81 / $9,156.60	Facility		$1,423.94	$2,394.81	$9,156.60
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $2,844.84 / $2,844.84 / $2,844.84	Facility	52	$2,844.84	$2,844.84	$2,844.84
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $355.61 / $355.61 / $355.61	Facility	AS	$355.61	$355.61	$355.61
United Facility/Professional Facility Modifier Low / Median / High Price $5,028.00 / $11,496.00 / $21,528.00	Facility		$5,028.00	$11,496.00	$21,528.00