Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,584.89 / $4,570.88	Facility		$331.13	$1,584.89	$4,570.88
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility	50	$2,137.96	$2,137.96	$2,137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $194.98 / $467.74	Professional		$64.57	$194.98	$467.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $251.19 / $251.19 / $602.56	Professional	50	$251.19	$251.19	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $58.88 / $213.80	Professional		$56.23	$58.88	$213.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $95.50 / $165.96	Professional		$66.07	$95.50	$165.96
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $112.20 / $208.93 / $275.42	Professional	50	$112.20	$208.93	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $186.21 / $416.87	Professional		$72.44	$186.21	$416.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $173.78 / $346.74	Professional		$42.66	$173.78	$346.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $85.11 / $346.74	Professional		$0.78	$85.11	$346.74
Select Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $234.42 / $234.42	Professional		$57.54	$234.42	$234.42
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 $70.79 / $186.21 / $389.05	Professional		$70.79	$186.21	$389.05