Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $3,981.07 / $10,232.93	Facility		$46.77	$3,981.07	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $93.33 / $323.59	Professional		$52.48	$93.33	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
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 $58.88 / $81.28 / $173.78	Professional		$58.88	$81.28	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $95.50 / $144.54	Professional		$50.12	$95.50	$144.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $97.72 / $173.78	Professional		$0.56	$97.72	$173.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.42 / $63.10 / $169.82	Professional		$0.42	$63.10	$169.82
Select Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $112.20 / $165.96	Professional		$41.69	$112.20	$165.96
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 $53.70 / $95.50 / $151.36	Professional		$53.70	$95.50	$151.36