Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,884.03 / $5,888.44	Facility		$1,122.02	$2,884.03	$5,888.44
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,698.24 / $3,235.94 / $8,317.64	Facility	50	$1,698.24	$3,235.94	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $870.96	Professional		$138.04	$181.97	$870.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $251.19 / $831.76 / $1,380.38	Professional	50	$251.19	$831.76	$1,380.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $151.36 / $257.04	Professional		$141.25	$151.36	$257.04
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $194.98 / $229.09 / $257.04	Professional	50	$194.98	$229.09	$257.04
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 $158.49 / $218.78 / $331.13	Professional		$158.49	$218.78	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $269.15	Professional		$134.90	$177.83	$269.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $1,023.29	Professional		$128.82	$194.98	$1,023.29
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $1,023.29	Professional		$213.80	$213.80	$1,023.29
Select Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $154.88	Professional		$144.54	$144.54	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,995.26 / $6,309.57	Facility		$724.44	$1,995.26	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $281.84	Professional		$151.36	$190.55	$281.84