Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $2,089.30 / $5,011.87	Facility		$173.78	$2,089.30	$5,011.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,513.56 / $2,570.40 / $5,623.41	Facility	50	$1,513.56	$2,570.40	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $169.82 / $537.03	Professional		$85.11	$169.82	$537.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $97.72 / $338.84 / $1,023.29	Professional	50	$97.72	$338.84	$1,023.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $87.10 / $177.83	Professional		$40.74	$87.10	$177.83
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $112.20 / $218.78 / $263.03	Professional	50	$112.20	$218.78	$263.03
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 / $112.20 / $173.78	Professional		$81.28	$112.20	$173.78
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $117.49 / $177.83 / $234.42	Professional	50	$117.49	$177.83	$234.42
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 $95.50 / $165.96 / $295.12	Professional		$95.50	$165.96	$295.12
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $181.97 / $457.09	Professional		$2.40	$181.97	$457.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $281.84 / $758.58	Professional		$120.23	$281.84	$758.58
Select Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $190.55 / $302.00	Professional		$81.28	$190.55	$302.00
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 $83.18 / $162.18 / $323.59	Professional		$83.18	$162.18	$323.59