Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,621.81 / $4,466.84	Facility		$758.58	$1,621.81	$4,466.84
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility	50	$1,737.80	$1,737.80	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $338.84 / $2,570.40	Professional		$107.15	$338.84	$2,570.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $275.42	Professional		$85.11	$109.65	$275.42
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 $120.23 / $275.42 / $645.65	Professional		$120.23	$275.42	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $302.00 / $707.95	Professional		$114.82	$302.00	$707.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $371.54 / $660.69	Professional		$93.33	$371.54	$660.69
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $467.74 / $537.03	Professional		$138.04	$467.74	$537.03
Select Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $309.03 / $309.03	Professional		$93.33	$309.03	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,905.46 / $4,786.30	Facility		$407.38	$1,905.46	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $309.03 / $912.01	Professional		$117.49	$309.03	$912.01