Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $1,862.09 / $5,011.87	Facility		$95.50	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $97.72 / $245.47	Professional		$57.54	$97.72	$245.47
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $371.54 / $389.05 / $416.87	Professional	50	$371.54	$389.05	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $97.72 / $467.74	Professional		$56.23	$97.72	$467.74
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $138.04 / $138.04 / $138.04	Professional	50	$138.04	$138.04	$138.04
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 $51.29 / $74.13 / $128.82	Professional		$51.29	$74.13	$128.82
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $75.86 / $114.82 / $173.78	Professional	50	$75.86	$114.82	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $112.20 / $223.87	Professional		$64.57	$112.20	$223.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $117.49 / $346.74	Professional		$1.35	$117.49	$346.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $158.49 / $602.56	Professional		$77.62	$158.49	$602.56
Select Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $104.71 / $512.86	Professional		$52.48	$104.71	$512.86
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 $58.88 / $100.00 / $208.93	Professional		$58.88	$100.00	$208.93