Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $1,862.09 / $5,011.87	Facility		$89.13	$1,862.09	$5,011.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $776.25 / $776.25 / $776.25	Facility	50	$776.25	$776.25	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $87.10 / $295.12	Professional		$50.12	$87.10	$295.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $77.62 / $234.42 / $436.52	Professional	50	$77.62	$234.42	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $89.13	Professional		$44.67	$60.26	$89.13
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $83.18 / $91.20 / $128.82	Professional	50	$83.18	$91.20	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $64.57 / $100.00	Professional		$47.86	$64.57	$100.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $67.61 / $102.33 / $134.90	Professional	50	$67.61	$102.33	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $89.13 / $151.36	Professional		$54.95	$89.13	$151.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $75.86 / $151.36	Professional		$1.58	$75.86	$151.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $67.61 / $147.91	Professional		$1.20	$67.61	$147.91
Select Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $97.72 / $151.36	Professional		$44.67	$97.72	$151.36
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 / $85.11 / $144.54	Professional		$47.86	$85.11	$144.54