Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $2,818.38 / $5,888.44	Facility		$190.55	$2,818.38	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $208.93 / $954.99	Professional		$114.82	$208.93	$954.99
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $363.08 / $1,513.56 / $1,819.70	Professional	50	$363.08	$1,513.56	$1,819.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
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 $117.49 / $199.53 / $331.13	Professional		$117.49	$199.53	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $186.21 / $288.40	Professional		$112.20	$186.21	$288.40
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $190.55 / $302.00	Professional		$109.65	$190.55	$302.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $204.17 / $288.40	Professional		$165.96	$204.17	$288.40
Select Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $190.55 / $190.55	Professional		$109.65	$190.55	$190.55
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 $117.49 / $190.55 / $288.40	Professional		$117.49	$190.55	$288.40