Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,698.24 / $5,011.87	Facility		$257.04	$1,698.24	$5,011.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility	50	$1,071.52	$1,071.52	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $204.17 / $794.33	Professional		$64.57	$204.17	$794.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $208.93 / $724.44	Professional	50	$147.91	$208.93	$724.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $239.88	Professional		$57.54	$79.43	$239.88
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $79.43 / $120.23 / $363.08	Professional	50	$79.43	$120.23	$363.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $128.82	Professional		$69.18	$95.50	$128.82
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $87.10 / $131.83 / $173.78	Professional	50	$87.10	$131.83	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $186.21 / $407.38	Professional		$70.79	$186.21	$407.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $128.82 / $363.08	Professional		$1.91	$128.82	$363.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $85.11 / $398.11	Professional		$1.45	$85.11	$398.11
Select Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $269.15 / $416.87	Professional		$57.54	$269.15	$416.87
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 $69.18 / $173.78 / $354.81	Professional		$69.18	$173.78	$354.81