Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $60.26 / $407.38	Facility		$25.12	$60.26	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $52.48 / $112.20	Professional		$25.70	$52.48	$112.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $17.38 / $77.62 / $354.81	Professional	50	$17.38	$77.62	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $56.23 / $58.88	Professional		$51.29	$56.23	$58.88
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $79.43 / $79.43 / $87.10	Professional	50	$79.43	$79.43	$87.10
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 $28.84 / $38.02 / $67.61	Professional		$28.84	$38.02	$67.61
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $33.88 / $51.29 / $74.13	Professional	50	$33.88	$51.29	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $57.54 / $100.00	Professional		$31.62	$57.54	$100.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $53.70 / $91.20	Professional		$0.45	$53.70	$91.20
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $67.61 / $93.33	Professional		$34.67	$67.61	$93.33
Select Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $63.10 / $97.72	Professional		$22.91	$63.10	$97.72
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 $28.84 / $51.29 / $87.10	Professional		$28.84	$51.29	$87.10