Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,995.26 / $6,165.95	Facility		$630.96	$1,995.26	$6,165.95
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,454.71 / $11,481.54 / $12,302.69	Facility	50	$2,454.71	$11,481.54	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $537.03 / $2,290.87	Professional		$100.00	$537.03	$2,290.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $4,466.84 / $4,466.84 / $4,677.35	Professional	50	$4,466.84	$4,466.84	$4,677.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $85.11 / $102.33	Professional		$79.43	$85.11	$102.33
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $128.82 / $128.82 / $131.83	Professional	50	$128.82	$128.82	$131.83
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 $114.82 / $436.52 / $1,000.00	Professional		$114.82	$436.52	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $416.87 / $831.76	Professional		$102.33	$416.87	$831.76
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $562.34 / $1,202.26	Professional		$87.10	$562.34	$1,202.26
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $851.14 / $1,584.89	Professional		$128.82	$851.14	$1,584.89
Select Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $562.34 / $562.34	Professional		$87.10	$562.34	$562.34
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 $107.15 / $478.63 / $870.96	Professional		$107.15	$478.63	$870.96