Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $3,981.07 / $6,918.31	Facility		$645.65	$3,981.07	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $1,071.52	Professional		$446.68	$645.65	$1,071.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $208.93 / $630.96	Professional	50	$208.93	$208.93	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $616.60 / $616.60 / $616.60	Professional	50	$616.60	$616.60	$616.60
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 $436.52 / $467.74 / $954.99	Professional		$436.52	$467.74	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $645.65 / $912.01	Professional		$398.11	$645.65	$912.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $707.95 / $1,412.54	Professional		$467.74	$707.95	$1,412.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $933.25 / $1,698.24	Professional		$588.84	$933.25	$1,698.24
Select Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $616.60 / $616.60	Professional		$389.05	$616.60	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,344.23 / $7,244.36	Facility		$1,288.25	$2,344.23	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $588.84 / $977.24	Professional		$436.52	$588.84	$977.24