Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $1,862.09 / $5,011.87	Facility		$245.47	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $457.09 / $831.76	Professional		$239.88	$457.09	$831.76
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $645.65 / $645.65 / $1,949.84	Professional	50	$645.65	$645.65	$1,949.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $234.42 / $446.68	Professional		$199.53	$234.42	$446.68
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 $213.80 / $501.19 / $933.25	Professional		$213.80	$501.19	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $436.52 / $912.01	Professional		$251.19	$436.52	$912.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $331.13 / $630.96	Professional		$169.82	$331.13	$630.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $281.84 / $363.08	Professional		$245.47	$281.84	$363.08
Select Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $245.47	Professional		$186.21	$245.47	$245.47
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 $316.23 / $501.19 / $870.96	Professional		$316.23	$501.19	$870.96