Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,194.45 / $1,194.45 / $6,781.00	Facility		$1,194.45	$1,194.45	$6,781.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,320.97 / $12,197.67 / $25,424.06	Facility		$3,320.97	$12,197.67	$25,424.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,953.14 / $4,190.08 / $10,079.79	Facility		$2,953.14	$4,190.08	$10,079.79
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $913.41 / $913.41 / $913.41	Facility	62	$913.41	$913.41	$913.41
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $146.15 / $146.15 / $146.15	Facility	AS	$146.15	$146.15	$146.15
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,684.67 / $3,830.74 / $7,936.85	Facility		$2,684.67	$3,830.74	$7,936.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,315.13 / $2,287.17 / $9,370.00	Facility		$1,315.13	$2,287.17	$9,370.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $1,968.08 / $1,968.08 / $1,968.08	Facility	62	$1,968.08	$1,968.08	$1,968.08
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $314.89 / $314.89 / $314.89	Facility	AS	$314.89	$314.89	$314.89
United Facility/Professional Facility Modifier Low / Median / High Price $5,457.00 / $9,370.00 / $12,774.00	Facility		$5,457.00	$9,370.00	$12,774.00