Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $1,862.09 / $5,011.87	Facility		$95.50	$1,862.09	$5,011.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $741.31 / $741.31 / $741.31	Facility	50	$741.31	$741.31	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $97.72 / $380.19	Professional		$57.54	$97.72	$380.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $87.10 / $144.54 / $524.81	Professional	50	$87.10	$144.54	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $89.13 / $95.50	Professional		$50.12	$89.13	$95.50
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $69.18 / $104.71 / $147.91	Professional	50	$69.18	$104.71	$147.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $74.13 / $114.82	Professional		$54.95	$74.13	$114.82
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $77.62 / $114.82 / $154.88	Professional	50	$77.62	$114.82	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $95.50 / $162.18	Professional		$63.10	$95.50	$162.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $85.11 / $162.18	Professional		$1.58	$85.11	$162.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $75.86 / $151.36	Professional		$1.20	$75.86	$151.36
Select Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $102.33 / $165.96	Professional		$50.12	$102.33	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,288.25 / $2,041.74	Facility		$199.53	$1,288.25	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $95.50 / $165.96	Professional		$58.88	$95.50	$165.96