Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $1,148.15 / $4,466.84	Facility		$165.96	$1,148.15	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $45.71 / $131.83	Professional		$14.13	$45.71	$131.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $63.10 / $75.86	Professional		$11.75	$63.10	$75.86
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 $17.78 / $38.90 / $97.72	Professional		$17.78	$38.90	$97.72
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $20.89 / $25.70 / $120.23	Professional	50	$20.89	$25.70	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $36.31 / $83.18	Professional		$15.14	$36.31	$83.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.40 / $45.71 / $109.65	Professional		$0.40	$45.71	$109.65
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $20.42 / $104.71	Professional		$0.30	$20.42	$104.71
Select Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $70.79 / $100.00	Professional		$13.49	$70.79	$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 $16.60 / $39.81 / $75.86	Professional		$16.60	$39.81	$75.86