Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,388.44 / $10,000.00	Facility		$1,479.11	$3,388.44	$10,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,265.80 / $10,232.93	Facility		$2,691.53	$4,265.80	$10,232.93
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 $1,698.24 / $1,698.24 / $1,698.24	Facility	52	$1,698.24	$1,698.24	$1,698.24
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $213.80 / $213.80 / $213.80	Facility	AS	$213.80	$213.80	$213.80
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,168.69 / $8,128.31	Facility		$3,311.31	$4,168.69	$8,128.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,778.28 / $3,467.37	Facility		$1,122.02	$1,778.28	$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