Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,038.00 / $12,770.28 / $14,737.65	Facility		$1,038.00	$12,770.28	$14,737.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,703.14 / $12,197.67 / $25,424.06	Facility		$4,703.14	$12,197.67	$25,424.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,652.19 / $3,672.47 / $8,763.79	Facility		$2,652.19	$3,672.47	$8,763.79
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $783.15 / $783.15 / $783.15	Facility	62	$783.15	$783.15	$783.15
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $125.30 / $125.30 / $125.30	Facility	AS	$125.30	$125.30	$125.30
Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,840.77 / $3,477.00 / $6,900.63	Facility		$2,840.77	$3,477.00	$6,900.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,164.73 / $2,140.69 / $10,831.00	Facility		$1,164.73	$2,140.69	$10,831.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $1,710.70 / $1,710.70 / $1,710.70	Facility	62	$1,710.70	$1,710.70	$1,710.70
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $273.70 / $273.70 / $273.70	Facility	AS	$273.70	$273.70	$273.70
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