Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $1,862.09 / $5,011.87	Facility		$32.36	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $58.88 / $218.78	Professional		$23.99	$58.88	$218.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $208.93 / $208.93	Professional	50	$208.93	$208.93	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $32.36 / $363.08	Professional		$23.44	$32.36	$363.08
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $46.77 / $46.77 / $46.77	Professional	50	$46.77	$46.77	$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 $27.54 / $45.71 / $169.82	Professional		$27.54	$45.71	$169.82
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $32.36 / $48.98 / $234.42	Professional	50	$32.36	$48.98	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $85.11 / $288.40	Professional		$30.90	$85.11	$288.40
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $45.71 / $426.58	Professional		$1.35	$45.71	$426.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $52.48 / $758.58	Professional		$32.36	$52.48	$758.58
Select Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $34.67 / $831.76	Professional		$21.38	$34.67	$831.76
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 $26.30 / $75.86 / $302.00	Professional		$26.30	$75.86	$302.00