Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $25.70 / $616.60	Facility		$15.85	$25.70	$616.60
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $676.08 / $676.08 / $676.08	Facility	50	$676.08	$676.08	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $28.18 / $57.54	Professional		$16.22	$28.18	$57.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $47.86 / $67.61 / $91.20	Professional	50	$47.86	$67.61	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.70 / $50.12	Professional		$25.12	$25.70	$50.12
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $38.90 / $38.90 / $41.69	Professional	50	$38.90	$38.90	$41.69
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 $19.05 / $30.90 / $45.71	Professional		$19.05	$30.90	$45.71
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $22.91 / $33.88 / $46.77	Professional	50	$22.91	$33.88	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Facility		$14.79	$14.79	$14.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $34.67 / $54.95	Professional		$19.95	$34.67	$54.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $28.84 / $48.98	Professional		$0.27	$28.84	$48.98
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.91 / $41.69	Professional		$22.39	$22.91	$41.69
Select Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $28.18 / $43.65	Professional		$15.14	$28.18	$43.65
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 $18.62 / $33.88 / $52.48	Professional		$18.62	$33.88	$52.48