Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $295.12 / $933.25	Facility		$162.18	$295.12	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $46.77 / $154.88	Professional		$28.18	$46.77	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.11 / $38.90	Professional		$23.99	$33.11	$38.90
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 $28.18 / $37.15 / $54.95	Professional		$28.18	$37.15	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $46.77 / $72.44	Professional		$30.20	$46.77	$72.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.40 / $42.66 / $69.18	Professional		$0.40	$42.66	$69.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $38.02 / $69.18	Professional		$0.30	$38.02	$69.18
Select Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $45.71 / $64.57	Professional		$25.12	$45.71	$64.57
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 $26.30 / $39.81 / $64.57	Professional		$26.30	$39.81	$64.57