Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $1,698.24 / $5,011.87	Facility		$81.28	$1,698.24	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $83.18 / $309.03	Professional		$66.07	$83.18	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $85.11 / $158.49	Professional		$72.44	$85.11	$158.49
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 $56.23 / $85.11 / $141.25	Professional		$56.23	$85.11	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $128.82	Professional		$64.57	$87.10	$128.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $97.72 / $141.25	Professional		$0.72	$97.72	$141.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $102.33 / $138.04	Professional		$0.54	$102.33	$138.04
Select Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $91.20 / $141.25	Professional		$69.18	$91.20	$141.25
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 $63.10 / $85.11 / $138.04	Professional		$63.10	$85.11	$138.04