Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $4,365.16 / $10,232.93	Facility		$43.65	$4,365.16	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $89.13 / $239.88	Professional		$45.71	$89.13	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $109.65 / $112.20	Professional		$19.95	$109.65	$112.20
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 $45.71 / $75.86 / $177.83	Professional		$45.71	$75.86	$177.83
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $63.10 / $81.28 / $204.17	Professional	50	$63.10	$81.28	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $83.18 / $147.91	Professional		$45.71	$83.18	$147.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $102.33 / $181.97	Professional		$1.35	$102.33	$181.97
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.02 / $60.26 / $177.83	Professional		$1.02	$60.26	$177.83
Select Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $117.49 / $169.82	Professional		$40.74	$117.49	$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 $51.29 / $87.10 / $151.36	Professional		$51.29	$87.10	$151.36