Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $2,290.87 / $5,011.87	Facility		$269.15	$2,290.87	$5,011.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Facility	50	$5,623.41	$5,623.41	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $316.23 / $1,288.25	Professional		$173.78	$316.23	$1,288.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $416.87 / $1,230.27 / $2,630.27	Professional	50	$416.87	$1,230.27	$2,630.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $257.04	Professional		$151.36	$239.88	$257.04
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $323.59 / $371.54 / $489.78	Professional	50	$323.59	$371.54	$489.78
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 $186.21 / $295.12 / $446.68	Professional		$186.21	$295.12	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $269.15 / $416.87	Professional		$165.96	$269.15	$416.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $316.23 / $1,023.29	Professional		$141.25	$316.23	$1,023.29
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $398.11 / $1,318.26	Professional		$204.17	$398.11	$1,318.26
Select Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $263.03 / $263.03	Professional		$134.90	$263.03	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,995.26 / $6,309.57	Facility		$724.44	$1,995.26	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $269.15 / $426.58	Professional		$165.96	$269.15	$426.58