Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,471.29 / $20,417.38	Facility		$3,801.89	$10,471.29	$20,417.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $12,302.69 / $16,595.87 / $16,595.87	Facility	50	$12,302.69	$16,595.87	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $1,479.11 / $5,495.41	Professional		$331.13	$1,479.11	$5,495.41
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $154.88 / $398.11 / $1,288.25	Professional	AS	$154.88	$398.11	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,884.03 / $3,630.78	Professional		$2,398.83	$2,884.03	$3,630.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,819.70 / $6,025.60	Professional		$1,202.26	$1,819.70	$6,025.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,801.89 / $32,359.37	Facility		$1,995.26	$3,801.89	$32,359.37
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $34,673.69 / $34,673.69 / $34,673.69	Facility	54	$34,673.69	$34,673.69	$34,673.69
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Facility	AS	$5,011.87	$5,011.87	$5,011.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,754.23 / $11,220.18	Professional		$1,412.54	$2,754.23	$11,220.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,090.30 / $3,715.35	Professional		$2,818.38	$3,090.30	$3,715.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,467.37	Professional		$2,691.53	$2,691.53	$3,467.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,137.96 / $2,818.38	Professional		$1,202.26	$2,137.96	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $16,218.10 / $34,673.69	Facility		$10,471.29	$16,218.10	$34,673.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,041.74 / $3,801.89	Professional		$1,348.96	$2,041.74	$3,801.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,511.89 / $2,951.21	Professional		$1,949.84	$2,511.89	$2,951.21