Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $2,089.30 / $5,011.87	Facility		$93.33	$2,089.30	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $100.00 / $616.60	Professional		$51.29	$100.00	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $93.33 / $93.33	Professional		$85.11	$93.33	$93.33
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 $57.54 / $114.82 / $173.78	Professional		$57.54	$114.82	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $109.65 / $194.98	Professional		$61.66	$109.65	$194.98
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $114.82 / $169.82	Professional		$52.48	$114.82	$169.82
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $100.00 / $151.36	Professional		$67.61	$100.00	$151.36
Select Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $100.00 / $100.00	Professional		$45.71	$100.00	$100.00
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 $60.26 / $104.71 / $177.83	Professional		$60.26	$104.71	$177.83