Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $1,862.09 / $5,011.87	Facility		$134.90	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $128.82 / $263.03	Professional		$75.86	$128.82	$263.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $524.81 / $870.96 / $870.96	Professional	50	$524.81	$870.96	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
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 $81.28 / $128.82 / $331.13	Professional		$81.28	$128.82	$331.13
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $100.00 / $151.36 / $223.87	Professional	50	$100.00	$151.36	$223.87
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 $81.28 / $138.04 / $234.42	Professional		$81.28	$138.04	$234.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $147.91 / $363.08	Professional		$1.45	$147.91	$363.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $223.87 / $602.56	Professional		$107.15	$223.87	$602.56
Select Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $147.91 / $223.87	Professional		$70.79	$147.91	$223.87
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 $77.62 / $134.90 / $234.42	Professional		$77.62	$134.90	$234.42