Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $2,089.30 / $5,011.87	Facility		$245.47	$2,089.30	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $234.42 / $724.44	Professional		$114.82	$234.42	$724.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $851.14 / $1,258.93 / $3,090.30	Professional	50	$851.14	$1,258.93	$3,090.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $141.25 / $257.04	Professional		$57.54	$141.25	$257.04
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 $131.83 / $158.49 / $208.93	Professional		$131.83	$158.49	$208.93
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $151.36 / $234.42 / $239.88	Professional	50	$151.36	$234.42	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $239.88 / $426.58	Professional		$123.03	$239.88	$426.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $186.21 / $346.74	Professional		$0.72	$186.21	$346.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $309.03 / $398.11	Professional		$165.96	$309.03	$398.11
Select Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $269.15 / $416.87	Professional		$109.65	$269.15	$416.87
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 $114.82 / $218.78 / $380.19	Professional		$114.82	$218.78	$380.19