Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $13,803.84 / $27,542.29	Facility		$7,079.46	$13,803.84	$27,542.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,168.69 / $10,000.00	Facility		$2,630.27	$4,168.69	$10,000.00
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility	22	$2,511.89	$2,511.89	$2,511.89
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility	52	$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $416.87 / $416.87 / $416.87	Facility	53	$416.87	$416.87	$416.87
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $208.93 / $208.93 / $208.93	Facility	AS	$208.93	$208.93	$208.93
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,073.80 / $7,943.28	Facility		$3,235.94	$4,073.80	$7,943.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,737.80 / $3,467.37	Facility		$1,096.48	$1,737.80	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,311.31 / $8,511.38	Facility		$794.33	$3,311.31	$8,511.38