Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $851.14 / $5,128.61	Facility		$208.93	$851.14	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $114.82 / $416.87	Professional		$56.23	$114.82	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $54.95 / $100.00	Professional		$42.66	$54.95	$100.00
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 $66.07 / $114.82 / $177.83	Professional		$66.07	$114.82	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $109.65 / $208.93	Professional		$57.54	$109.65	$208.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $128.82 / $223.87	Professional		$1.35	$128.82	$223.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.02 / $81.28 / $218.78	Professional		$1.02	$81.28	$218.78
Select Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $131.83 / $165.96	Professional		$53.70	$131.83	$165.96
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 $61.66 / $120.23 / $208.93	Professional		$61.66	$120.23	$208.93