Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $2,089.30 / $5,011.87	Facility		$229.09	$2,089.30	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $194.98 / $467.74	Professional		$79.43	$194.98	$467.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $741.31 / $741.31 / $741.31	Professional	50	$741.31	$741.31	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $79.43 / $208.93	Professional		$77.62	$79.43	$208.93
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 $70.79 / $104.71 / $154.88	Professional		$70.79	$104.71	$154.88
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $109.65 / $165.96 / $208.93	Professional	50	$109.65	$165.96	$208.93
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 $83.18 / $181.97 / $371.54	Professional		$83.18	$181.97	$371.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $213.80 / $457.09	Professional		$1.35	$213.80	$457.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $363.08 / $758.58	Professional		$114.82	$363.08	$758.58
Select Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $239.88 / $831.76	Professional		$75.86	$239.88	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,584.89 / $4,786.30	Facility		$407.38	$1,584.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $177.83 / $331.13	Professional		$72.44	$177.83	$331.13