Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $549.54 / $4,466.84	Facility		$63.10	$549.54	$4,466.84
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $53.70 / $245.47 / $245.47	Facility	50	$53.70	$245.47	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $66.07 / $257.04	Professional		$33.88	$66.07	$257.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $75.86 / $257.04 / $309.03	Professional	50	$75.86	$257.04	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $43.65 / $57.54	Professional		$34.67	$43.65	$57.54
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $44.67 / $61.66 / $70.79	Professional	50	$44.67	$61.66	$70.79
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $9.55 / $9.55 / $9.55	Professional	52	$9.55	$9.55	$9.55
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 $32.36 / $52.48 / $81.28	Professional		$32.36	$52.48	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $77.62	Professional		$33.11	$50.12	$77.62
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $47.86 / $75.86	Professional		$0.54	$47.86	$75.86
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $39.81 / $70.79	Professional		$0.36	$39.81	$70.79
Select Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $47.86 / $47.86	Professional		$26.92	$47.86	$47.86
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 $33.11 / $50.12 / $75.86	Professional		$33.11	$50.12	$75.86