Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $478.63 / $3,630.78	Facility		$302.00	$478.63	$3,630.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $354.81 / $389.05 / $389.05	Facility	50	$354.81	$389.05	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $173.78 / $512.86	Professional		$60.26	$173.78	$512.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $218.78 / $512.86 / $776.25	Professional	50	$218.78	$512.86	$776.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $138.04 / $186.21	Professional		$44.67	$138.04	$186.21
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $218.78 / $218.78 / $218.78	Professional	50	$218.78	$218.78	$218.78
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 $58.88 / $77.62 / $117.49	Professional		$58.88	$77.62	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $93.33 / $213.80	Professional		$53.70	$93.33	$213.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.89 / $97.72 / $263.03	Professional		$0.89	$97.72	$263.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $72.44 / $245.47	Professional		$0.60	$72.44	$245.47
Select Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $151.36 / $165.96	Professional		$48.98	$151.36	$165.96
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 $58.88 / $100.00 / $218.78	Professional		$58.88	$100.00	$218.78