Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $933.25 / $1,174.90	Facility		$537.03	$933.25	$1,174.90
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $776.25 / $954.99 / $977.24	Facility	25	$776.25	$954.99	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $64.57 / $154.88	Professional		$48.98	$64.57	$154.88
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $69.18 / $208.93 / $331.13	Professional	25	$69.18	$208.93	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $169.82	Professional		$61.66	$75.86	$169.82
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $66.07 / $67.61 / $213.80	Professional	25	$66.07	$67.61	$213.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,818.38 / $3,388.44	Facility		$1,737.80	$2,818.38	$3,388.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $138.04	Professional		$60.26	$85.11	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,047.13 / $1,122.02	Facility		$954.99	$1,047.13	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $77.62 / $128.82	Professional		$53.70	$77.62	$128.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $72.44 / $109.65	Professional		$0.83	$72.44	$109.65
Hometown Health Facility/Professional Professional Modifier 25 Low / Median / High Price $371.54 / $371.54 / $371.54	Professional	25	$371.54	$371.54	$371.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $0.83 / $102.33	Professional		$0.83	$0.83	$102.33
Select Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $144.54	Professional		$67.61	$67.61	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $125.89	Professional		$57.54	$75.86	$125.89