Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $1,698.24 / $5,011.87	Facility		$85.11	$1,698.24	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $239.88 / $1,000.00	Professional		$77.62	$239.88	$1,000.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $56.23 / $177.83 / $478.63	Professional	50	$56.23	$177.83	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $223.87 / $436.52	Professional		$74.13	$223.87	$436.52
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $100.00 / $100.00 / $100.00	Professional	50	$100.00	$100.00	$100.00
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 $79.43 / $104.71 / $169.82	Professional		$79.43	$104.71	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $173.78 / $338.84	Professional		$75.86	$173.78	$338.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $204.17 / $426.58	Professional		$67.61	$204.17	$426.58
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $114.82 / $398.11	Professional		$102.33	$114.82	$398.11
Select Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $245.47 / $263.03	Professional		$67.61	$245.47	$263.03
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 $79.43 / $169.82 / $346.74	Professional		$79.43	$169.82	$346.74