Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,463.36 / $13,249.66 / $30,402.33	Facility		$5,463.36	$13,249.66	$30,402.33
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $869.66 / $869.66 / $869.66	Facility	54	$869.66	$869.66	$869.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $592.25 / $2,018.31 / $5,502.00	Professional		$592.25	$2,018.31	$5,502.00
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $358.04 / $605.66 / $913.50	Professional	AS	$358.04	$605.66	$913.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,179.01 / $1,934.63 / $2,344.23	Professional		$1,179.01	$1,934.63	$2,344.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,999.34 / $17,097.68 / $33,072.44	Facility		$12,999.34	$17,097.68	$33,072.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,119.31 / $1,907.93 / $2,543.90	Professional		$1,119.31	$1,907.93	$2,543.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,173.56 / $14,173.56 / $14,173.56	Facility		$14,173.56	$14,173.56	$14,173.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,326.81 / $2,845.27 / $3,851.59	Professional		$2,326.81	$2,845.27	$3,851.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,333.48 / $2,896.03 / $19,254.00	Facility		$1,333.48	$2,896.03	$19,254.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $2,273.19 / $35,560.28 / $35,560.28	Facility	54	$2,273.19	$35,560.28	$35,560.28
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $2,029.64 / $31,750.25 / $31,750.25	Facility	62	$2,029.64	$31,750.25	$31,750.25
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $324.74 / $5,080.04 / $5,080.04	Facility	AS	$324.74	$5,080.04	$5,080.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,638.79 / $2,676.00 / $3,626.34	Professional		$1,638.79	$2,676.00	$3,626.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,332.54 / $3,448.05 / $18,014.20	Facility		$2,332.54	$3,448.05	$18,014.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,273.76 / $2,833.31 / $3,851.59	Professional		$2,273.76	$2,833.31	$3,851.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,226.11 / $2,287.30 / $19,471.49	Professional		$1,226.11	$2,287.30	$19,471.49
United Facility/Professional Facility Modifier Low / Median / High Price $8,148.00 / $9,696.00 / $15,622.00	Facility		$8,148.00	$9,696.00	$15,622.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,638.79 / $2,458.19 / $3,529.71	Professional		$1,638.79	$2,458.19	$3,529.71