Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $478.63 / $4,466.84	Facility		$79.43	$478.63	$4,466.84
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $489.78 / $489.78 / $489.78	Facility	50	$489.78	$489.78	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $128.82 / $602.56	Professional		$48.98	$128.82	$602.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $398.11 / $1,174.90	Professional	50	$154.88	$398.11	$1,174.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $72.44 / $100.00	Professional		$38.02	$72.44	$100.00
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $218.78 / $218.78 / $218.78	Professional	50	$218.78	$218.78	$218.78
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 $50.12 / $64.57 / $100.00	Professional		$50.12	$64.57	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $85.11 / $147.91	Professional		$48.98	$85.11	$147.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $93.33 / $144.54	Professional		$0.72	$93.33	$144.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.48 / $61.66 / $123.03	Professional		$0.48	$61.66	$123.03
Select Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $81.28 / $81.28	Professional		$40.74	$81.28	$81.28
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 $50.12 / $85.11 / $147.91	Professional		$50.12	$85.11	$147.91