Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $1,698.24 / $5,011.87	Facility		$83.18	$1,698.24	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $64.57 / $138.04	Professional		$25.70	$64.57	$138.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $63.10 / $112.20	Professional		$60.26	$63.10	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,467.37 / $4,466.84	Facility		$1,513.56	$3,467.37	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $56.23 / $123.03	Professional		$31.62	$56.23	$123.03
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $37.15 / $47.86 / $151.36	Professional	50	$37.15	$47.86	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $57.54 / $104.71	Professional		$26.92	$57.54	$104.71
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $72.44 / $138.04	Professional		$27.54	$72.44	$138.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $104.71 / $131.83	Professional		$38.02	$104.71	$131.83
Select Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $89.13 / $125.89	Professional		$25.12	$89.13	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,288.25 / $2,041.74	Facility		$199.53	$1,288.25	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $60.26 / $104.71	Professional		$30.20	$60.26	$104.71