Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $2,137.96 / $5,623.41	Facility		$446.68	$2,137.96	$5,623.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,778.28 / $4,168.69 / $11,748.98	Facility	50	$1,778.28	$4,168.69	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $436.52 / $1,348.96	Professional		$204.17	$436.52	$1,348.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $229.09 / $741.31 / $3,090.30	Professional	50	$229.09	$741.31	$3,090.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $363.08 / $426.58	Professional		$169.82	$363.08	$426.58
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $239.88 / $331.13 / $630.96	Professional	50	$239.88	$331.13	$630.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,073.80 / $5,888.44	Facility		$3,388.44	$4,073.80	$5,888.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $302.00 / $426.58	Professional		$199.53	$302.00	$426.58
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $288.40 / $380.19 / $562.34	Professional	50	$288.40	$380.19	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $398.11 / $741.31	Professional		$213.80	$398.11	$741.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $416.87 / $891.25	Professional		$3.80	$416.87	$891.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $691.83 / $1,479.11	Professional		$257.04	$691.83	$1,479.11
Select Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $467.74 / $724.44	Professional		$169.82	$467.74	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,951.21 / $7,413.10	Facility		$1,288.25	$2,951.21	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $398.11 / $707.95	Professional		$218.78	$398.11	$707.95