Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $643.10 / $643.10 / $6,575.00	Facility		$643.10	$643.10	$6,575.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,995.94 / $12,197.67 / $25,424.06	Facility		$2,995.94	$12,197.67	$25,424.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,569.17 / $2,226.42 / $5,355.97	Facility		$1,569.17	$2,226.42	$5,355.97
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $72.09 / $72.09 / $72.09	Facility	AS	$72.09	$72.09	$72.09
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,426.52 / $2,035.49 / $4,217.30	Facility		$1,426.52	$2,035.49	$4,217.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $646.12 / $1,102.01 / $4,443.89	Facility		$646.12	$1,102.01	$4,443.89
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $166.87 / $166.87 / $166.87	Facility	AS	$166.87	$166.87	$166.87
United Facility/Professional Facility Modifier Low / Median / High Price $3,940.00 / $7,872.00 / $11,531.00	Facility		$3,940.00	$7,872.00	$11,531.00