Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $4,365.16 / $8,128.31	Facility		$87.10	$4,365.16	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $112.20 / $295.12	Professional		$57.54	$112.20	$295.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $141.25 / $151.36 / $1,071.52	Professional	50	$141.25	$151.36	$1,071.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $57.54 / $131.83	Professional		$53.70	$57.54	$131.83
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 $46.77 / $66.07 / $114.82	Professional		$46.77	$66.07	$114.82
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $67.61 / $123.03 / $169.82	Professional	50	$67.61	$123.03	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $173.78	Professional		$61.66	$93.33	$173.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $104.71 / $204.17	Professional		$1.07	$104.71	$204.17
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $134.90 / $199.53	Professional		$91.20	$134.90	$199.53
Select Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $134.90 / $724.44	Professional		$60.26	$134.90	$724.44
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 $54.95 / $89.13 / $173.78	Professional		$54.95	$89.13	$173.78