Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,862.09 / $5,011.87	Facility		$229.09	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $208.93 / $457.09	Professional		$77.62	$208.93	$457.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $218.78 / $295.12 / $741.31	Professional	50	$218.78	$295.12	$741.31
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $128.82 / $128.82 / $128.82	Professional	50	$128.82	$128.82	$128.82
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 $85.11 / $109.65 / $302.00	Professional		$85.11	$109.65	$302.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $102.33 / $158.49 / $204.17	Professional	50	$102.33	$158.49	$204.17
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 $83.18 / $194.98 / $389.05	Professional		$83.18	$194.98	$389.05
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $251.19 / $446.68	Professional		$85.11	$251.19	$446.68
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $363.08 / $602.56	Professional		$107.15	$363.08	$602.56
Select Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $239.88 / $380.19	Professional		$72.44	$239.88	$380.19
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 $79.43 / $186.21 / $338.84	Professional		$79.43	$186.21	$338.84