Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,238.72 / $8,317.64	Facility		$436.52	$2,238.72	$8,317.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $537.03 / $2,398.83 / $6,165.95	Facility	50	$537.03	$2,398.83	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $338.84 / $851.14	Professional		$177.83	$338.84	$851.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $331.13 / $812.83 / $2,511.89	Professional	50	$331.13	$812.83	$2,511.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $169.82	Professional		$154.88	$154.88	$169.82
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $208.93 / $446.68	Professional	50	$125.89	$208.93	$446.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,073.80 / $5,888.44	Facility		$3,388.44	$4,073.80	$5,888.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $741.31	Professional		$199.53	$269.15	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $323.59 / $575.44	Professional		$194.98	$323.59	$575.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $346.74 / $1,862.09	Professional		$151.36	$346.74	$1,862.09
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $436.52 / $2,344.23	Professional		$223.87	$436.52	$2,344.23
Select Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $288.40 / $288.40	Professional		$151.36	$288.40	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,344.23 / $7,244.36	Facility		$1,288.25	$2,344.23	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $346.74 / $524.81	Professional		$190.55	$346.74	$524.81