Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $6,456.54	Facility		$537.03	$537.03	$6,456.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $8,317.64 / $16,218.10	Facility		$3,548.13	$8,317.64	$16,218.10
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $8,317.64 / $14,791.08 / $38,018.94	Facility	50	$8,317.64	$14,791.08	$38,018.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,041.74 / $4,897.79	Facility		$1,288.25	$2,041.74	$4,897.79
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility	22	$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	AS	$100.00	$100.00	$100.00
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $3,890.45	Facility		$1,584.89	$1,995.26	$3,890.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $912.01 / $3,981.07	Facility		$562.34	$912.01	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $5,495.41 / $10,000.00	Facility		$2,089.30	$5,495.41	$10,000.00