Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,174.90 / $6,025.60	Facility		$512.86	$1,174.90	$6,025.60
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,398.83 / $2,398.83 / $6,456.54	Facility	50	$2,398.83	$2,398.83	$6,456.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $13,182.57 / $31,622.78	Facility		$3,019.95	$13,182.57	$31,622.78
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $16,218.10 / $29,512.09 / $74,131.02	Facility	50	$16,218.10	$29,512.09	$74,131.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $4,265.80	Facility		$1,258.93	$1,778.28	$4,265.80
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility	22	$1,023.29	$1,023.29	$1,023.29
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $3,311.31	Facility		$1,380.38	$1,698.24	$3,311.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,230.27 / $10,000.00	Facility		$524.81	$1,230.27	$10,000.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,511.89 / $4,786.30 / $8,511.38	Facility	50	$2,511.89	$4,786.30	$8,511.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $6,760.83 / $17,782.79	Facility		$1,584.89	$6,760.83	$17,782.79