Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $407.38 / $4,365.16	Facility		$97.72	$407.38	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $28.84 / $77.62	Professional		$14.13	$28.84	$77.62
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $22.91 / $60.26 / $120.23	Professional	50	$22.91	$60.26	$120.23
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $38.90 / $69.18 / $114.82	Professional	52	$38.90	$69.18	$114.82
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $16.98 / $64.57 / $64.57	Professional	53	$16.98	$64.57	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.80 / $17.38	Professional		$10.96	$13.80	$17.38
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $16.98 / $21.38 / $31.62	Professional	50	$16.98	$21.38	$31.62
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 $15.85 / $20.89 / $28.18	Professional		$15.85	$20.89	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $14.79 / $23.44	Professional		$11.22	$14.79	$23.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $16.98 / $28.84	Professional		$0.21	$16.98	$28.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.18 / $25.70	Professional		$0.18	$0.18	$25.70
Select Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.98 / $16.98	Professional		$15.14	$16.98	$16.98
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 $12.88 / $16.98 / $25.70	Professional		$12.88	$16.98	$25.70