Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $1,698.24 / $5,011.87	Facility		$89.13	$1,698.24	$5,011.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $831.76 / $831.76 / $831.76	Facility	50	$831.76	$831.76	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $97.72 / $537.03	Professional		$48.98	$97.72	$537.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $74.13 / $169.82 / $645.65	Professional	50	$74.13	$169.82	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $52.48 / $89.13	Professional		$44.67	$52.48	$89.13
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $64.57 / $114.82 / $134.90	Professional	50	$64.57	$114.82	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $64.57 / $100.00	Professional		$46.77	$64.57	$100.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $66.07 / $100.00 / $131.83	Professional	50	$66.07	$100.00	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $87.10 / $151.36	Professional		$53.70	$87.10	$151.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $74.13 / $151.36	Professional		$1.58	$74.13	$151.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $64.57 / $144.54	Professional		$1.20	$64.57	$144.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $95.50 / $154.88	Professional		$43.65	$95.50	$154.88
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 $47.86 / $83.18 / $144.54	Professional		$47.86	$83.18	$144.54