Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,502.17 / $7,049.86 / $20,702.18	Facility		$3,502.17	$7,049.86	$20,702.18
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $4,505.00 / $4,505.00 / $4,505.00	Facility	22	$4,505.00	$4,505.00	$4,505.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,287.40 / $6,499.40 / $17,336.29	Facility	50	$5,287.40	$6,499.40	$17,336.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.69 / $711.88 / $1,838.00	Professional		$383.69	$711.88	$1,838.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $1,285.00 / $1,285.00	Facility		$1,285.00	$1,285.00	$1,285.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.07 / $953.62 / $1,192.02	Professional		$450.07	$953.62	$1,192.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $402.18 / $648.32 / $1,306.23	Professional		$402.18	$648.32	$1,306.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $656.00 / $1,049.31 / $12,039.19	Facility		$656.00	$1,049.31	$12,039.19
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $7,162.48 / $7,162.48 / $10,804.11	Facility	50	$7,162.48	$7,162.48	$10,804.11
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,537.78 / $1,537.78 / $1,537.78	Facility	AS	$1,537.78	$1,537.78	$1,537.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $472.54 / $922.25 / $3,959.35	Professional		$472.54	$922.25	$3,959.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $672.00 / $1,167.36 / $5,275.65	Facility		$672.00	$1,167.36	$5,275.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $615.00 / $962.13 / $1,258.39	Professional		$615.00	$962.13	$1,258.39
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $6,313.22 / $6,313.22 / $6,313.22	Facility		$6,313.22	$6,313.22	$6,313.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $434.17 / $808.66 / $6,001.62	Professional		$434.17	$808.66	$6,001.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $9,082.00 / $13,476.00	Facility		$1,770.00	$9,082.00	$13,476.00
United Facility/Professional Professional Modifier Low / Median / High Price $428.56 / $657.61 / $1,315.76	Professional		$428.56	$657.61	$1,315.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $670.24 / $848.40 / $998.10	Professional		$670.24	$848.40	$998.10