Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $295.12 / $398.11	Facility		$28.18	$295.12	$398.11
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $234.42 / $234.42 / $389.05	Facility	50	$234.42	$234.42	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $83.18 / $151.36	Professional		$25.12	$83.18	$151.36
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $42.66 / $234.42 / $239.88	Professional	50	$42.66	$234.42	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $77.62 / $89.13	Professional		$66.07	$77.62	$89.13
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $32.36 / $112.20 / $120.23	Professional	50	$32.36	$112.20	$120.23
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 $24.55 / $33.88 / $48.98	Professional		$24.55	$33.88	$48.98
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $35.48 / $51.29 / $70.79	Professional	50	$35.48	$51.29	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $74.13 / $147.91	Professional		$25.70	$74.13	$147.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $64.57 / $112.20	Professional		$0.79	$64.57	$112.20
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $100.00 / $125.89	Professional		$34.67	$100.00	$125.89
Select Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $83.18 / $134.90	Professional		$22.91	$83.18	$134.90
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 $26.30 / $74.13 / $134.90	Professional		$26.30	$74.13	$134.90