Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $2,089.30 / $5,011.87	Facility		$190.55	$2,089.30	$5,011.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,412.54 / $2,570.40 / $2,570.40	Facility	50	$1,412.54	$2,570.40	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $190.55 / $575.44	Professional		$102.33	$190.55	$575.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $346.74 / $1,230.27	Professional	50	$154.88	$346.74	$1,230.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $173.78 / $190.55	Professional		$47.86	$173.78	$190.55
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $128.82 / $186.21 / $295.12	Professional	50	$128.82	$186.21	$295.12
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 $97.72 / $131.83 / $204.17	Professional		$97.72	$131.83	$204.17
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $138.04 / $204.17 / $269.15	Professional	50	$138.04	$204.17	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $186.21 / $323.59	Professional		$109.65	$186.21	$323.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $199.53 / $457.09	Professional		$2.40	$199.53	$457.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $309.03 / $758.58	Professional		$141.25	$309.03	$758.58
Select Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $204.17 / $323.59	Professional		$93.33	$204.17	$323.59
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 $100.00 / $181.97 / $363.08	Professional		$100.00	$181.97	$363.08