Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,698.24 / $5,011.87	Facility		$436.52	$1,698.24	$5,011.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,737.80 / $3,548.13 / $3,548.13	Facility	50	$1,737.80	$3,548.13	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $331.13 / $977.24	Professional		$52.48	$331.13	$977.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $45.71 / $54.95	Professional		$25.12	$45.71	$54.95
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 $60.26 / $288.40 / $691.83	Professional		$60.26	$288.40	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $309.03 / $602.56	Professional		$54.95	$309.03	$602.56
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $338.84 / $645.65	Professional		$44.67	$338.84	$645.65
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $489.78 / $588.84	Professional		$67.61	$489.78	$588.84
Select Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $389.05 / $398.11	Professional		$44.67	$389.05	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,584.89 / $4,786.30	Facility		$407.38	$1,584.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $354.81 / $645.65	Professional		$56.23	$354.81	$645.65