Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $739.03 / $739.03 / $4,828.00	Facility		$739.03	$739.03	$4,828.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,490.86 / $12,197.67 / $25,424.06	Facility		$3,490.86	$12,197.67	$25,424.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,816.67 / $2,577.59 / $6,200.74	Facility		$1,816.67	$2,577.59	$6,200.74
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $84.56 / $84.56 / $84.56	Facility	AS	$84.56	$84.56	$84.56
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,651.52 / $2,356.54 / $4,882.47	Facility		$1,651.52	$2,356.54	$4,882.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $769.13 / $1,287.59 / $3,523.85	Facility		$769.13	$1,287.59	$3,523.85
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $193.28 / $193.28 / $193.28	Facility	AS	$193.28	$193.28	$193.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $3,991.00 / $9,787.00	Facility		$2,740.00	$3,991.00	$9,787.00