Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $120.23 / $831.76	Facility		$87.10	$120.23	$831.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1,318.26 / $2,041.74	Facility		$1.00	$1,318.26	$2,041.74
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $0.02 / $0.02 / $0.02	Facility	50	$0.02	$0.02	$0.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $398.11 / $954.99	Facility		$281.84	$398.11	$954.99
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $128.82 / $128.82 / $128.82	Facility	62	$128.82	$128.82	$128.82
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $20.89 / $20.89 / $20.89	Facility	AS	$20.89	$20.89	$20.89
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $380.19 / $758.58	Facility		$309.03	$380.19	$758.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $245.47 / $2,398.83	Facility		$169.82	$245.47	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $3,715.35	Facility		$1,096.48	$1,862.09	$3,715.35