Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $12,302.69 / $20,417.38	Facility		$2,570.40	$12,302.69	$20,417.38
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $38,904.51 / $38,904.51 / $38,904.51	Facility	22	$38,904.51	$38,904.51	$38,904.51
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $17,782.79 / $17,782.79 / $17,782.79	Facility	50	$17,782.79	$17,782.79	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $1,412.54 / $5,754.40	Professional		$302.00	$1,412.54	$5,754.40
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $158.49 / $575.44 / $1,258.93	Professional	AS	$158.49	$575.44	$1,258.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $1,023.29 / $2,187.76	Professional		$144.54	$1,023.29	$2,187.76
Ambetter Facility/Professional Professional Modifier AS Low / Median / High Price $302.00 / $398.11 / $562.34	Professional	AS	$302.00	$398.11	$562.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $16,218.10 / $33,113.11	Facility		$12,882.50	$16,218.10	$33,113.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,949.84 / $2,754.23	Professional		$1,174.90	$1,949.84	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $14,125.38 / $14,125.38	Facility		$14,125.38	$14,125.38	$14,125.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,884.03 / $3,890.45	Professional		$1,479.11	$2,884.03	$3,890.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $9,120.11 / $21,379.62	Facility		$1,513.56	$9,120.11	$21,379.62
Medica Facility/Professional Facility Modifier 22 Low / Median / High Price $9,549.93 / $9,549.93 / $9,549.93	Facility	22	$9,549.93	$9,549.93	$9,549.93
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $2,290.87 / $34,673.69 / $34,673.69	Facility	54	$2,290.87	$34,673.69	$34,673.69
Medica Facility/Professional Facility Modifier 80 Low / Median / High Price $707.95 / $707.95 / $707.95	Facility	80	$707.95	$707.95	$707.95
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $323.59 / $2,454.71 / $5,011.87	Facility	AS	$323.59	$2,454.71	$5,011.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,511.89 / $6,456.54	Professional		$1,548.82	$2,511.89	$6,456.54
Medica Facility/Professional Professional Modifier AS Low / Median / High Price $269.15 / $269.15 / $331.13	Professional	AS	$269.15	$269.15	$331.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,090.30 / $3,981.07	Professional		$2,454.71	$3,090.30	$3,981.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $14,125.38 / $14,125.38	Facility		$14,125.38	$14,125.38	$14,125.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,884.03 / $3,981.07	Professional		$2,754.23	$2,884.03	$3,981.07
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 $9,120.11 / $10,964.78 / $16,982.44	Facility		$9,120.11	$10,964.78	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $3,548.13	Professional		$1,513.56	$2,454.71	$3,548.13