Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,698.24 / $4,466.84	Facility		$380.19	$1,698.24	$4,466.84
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $724.44 / $812.83 / $831.76	Facility	50	$724.44	$812.83	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $69.18 / $218.78	Professional		$34.67	$69.18	$218.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $75.86 / $169.82 / $446.68	Professional	50	$75.86	$169.82	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $48.98 / $60.26	Professional		$26.92	$48.98	$60.26
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $47.86 / $74.13 / $95.50	Professional	50	$47.86	$74.13	$95.50
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 $42.66 / $61.66 / $91.20	Professional		$42.66	$61.66	$91.20
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $46.77 / $70.79 / $107.15	Professional	50	$46.77	$70.79	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $16,982.44 / $17,782.79	Facility		$30.20	$16,982.44	$17,782.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $61.66 / $95.50	Professional		$37.15	$61.66	$95.50
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $51.29 / $79.43	Professional		$0.36	$51.29	$79.43
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $50.12 / $83.18	Professional		$46.77	$50.12	$83.18
Select Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $56.23 / $309.03	Professional		$30.90	$56.23	$309.03
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 $34.67 / $52.48 / $83.18	Professional		$34.67	$52.48	$83.18