Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $812.83 / $4,466.84	Facility		$389.05	$812.83	$4,466.84
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $812.83 / $812.83 / $812.83	Facility	50	$812.83	$812.83	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $57.54 / $169.82	Professional		$28.84	$57.54	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $26.92 / $46.77	Professional		$16.60	$26.92	$46.77
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 $37.15 / $60.26 / $138.04	Professional		$37.15	$60.26	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $56.23 / $141.25	Professional		$31.62	$56.23	$141.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $45.71 / $125.89	Professional		$1.82	$45.71	$125.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $40.74 / $123.03	Professional		$1.20	$40.74	$123.03
Select Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $81.28 / $81.28	Professional		$26.92	$81.28	$81.28
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 $33.88 / $60.26 / $141.25	Professional		$33.88	$60.26	$141.25