Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $4,365.16 / $10,232.93	Facility		$45.71	$4,365.16	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $100.00 / $501.19	Professional		$43.65	$100.00	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $109.65 / $138.04	Professional		$52.48	$109.65	$138.04
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 $41.69 / $74.13 / $177.83	Professional		$41.69	$74.13	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $83.18 / $147.91	Professional		$46.77	$83.18	$147.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $95.50 / $177.83	Professional		$1.20	$95.50	$177.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.89 / $61.66 / $173.78	Professional		$0.89	$61.66	$173.78
Select Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $114.82 / $169.82	Professional		$41.69	$114.82	$169.82
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 $46.77 / $87.10 / $147.91	Professional		$46.77	$87.10	$147.91