Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $14,125.38 / $28,840.32	Facility		$3,890.45	$14,125.38	$28,840.32
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $26,302.68 / $26,302.68 / $26,302.68	Facility	22	$26,302.68	$26,302.68	$26,302.68
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,762.47 / $7,762.47 / $15,488.17	Facility	50	$7,762.47	$7,762.47	$15,488.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,548.82 / $6,025.60	Professional		$831.76	$1,548.82	$6,025.60
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $169.82 / $407.38 / $1,023.29	Professional	AS	$169.82	$407.38	$1,023.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $1,122.02 / $1,513.56	Professional		$162.18	$1,122.02	$1,513.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $15,135.61 / $19,498.45	Facility		$10,964.78	$15,135.61	$19,498.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $2,570.40	Professional		$1,348.96	$1,819.70	$2,570.40
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $154.88 / $239.88 / $331.13	Professional	AS	$154.88	$239.88	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $11,748.98 / $17,782.79	Facility		$10,471.29	$11,748.98	$17,782.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,862.09 / $3,019.95	Professional		$1,258.93	$1,862.09	$3,019.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $1,479.11 / $11,748.98	Professional		$30.20	$1,479.11	$11,748.98
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $14,791.08	Professional		$1,698.24	$1,698.24	$14,791.08
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $2,344.23	Professional		$1,148.15	$1,148.15	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $14,454.40 / $26,915.35	Facility		$3,715.35	$14,454.40	$26,915.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $2,454.71	Professional		$1,258.93	$1,698.24	$2,454.71