Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,584.89 / $4,466.84	Facility		$295.12	$1,584.89	$4,466.84
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $724.44 / $1,698.24 / $1,698.24	Facility	50	$724.44	$1,698.24	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $74.13 / $295.12	Professional		$37.15	$74.13	$295.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $77.62 / $151.36 / $416.87	Professional	50	$77.62	$151.36	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $50.12 / $58.88	Professional		$26.30	$50.12	$58.88
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $52.48 / $79.43 / $91.20	Professional	50	$52.48	$79.43	$91.20
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 $43.65 / $64.57 / $95.50	Professional		$43.65	$64.57	$95.50
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $47.86 / $72.44 / $109.65	Professional	50	$47.86	$72.44	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $64.57 / $97.72	Professional		$41.69	$64.57	$97.72
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $54.95 / $89.13	Professional		$0.45	$54.95	$89.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $51.29 / $85.11	Professional		$47.86	$51.29	$85.11
Select Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $56.23 / $309.03	Professional		$31.62	$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 $37.15 / $54.95 / $87.10	Professional		$37.15	$54.95	$87.10