Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $1,862.09 / $5,011.87	Facility		$83.18	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $87.10 / $288.40	Professional		$50.12	$87.10	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $109.65	Professional		$83.18	$83.18	$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 $61.66 / $85.11 / $138.04	Professional		$61.66	$85.11	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $87.10 / $151.36	Professional		$52.48	$87.10	$151.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $91.20 / $147.91	Professional		$0.87	$91.20	$147.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $70.79 / $144.54	Professional		$0.66	$70.79	$144.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $95.50 / $134.90	Professional		$47.86	$95.50	$134.90
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 $57.54 / $95.50 / $147.91	Professional		$57.54	$95.50	$147.91