Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $251.19 / $281.84	Facility		$28.18	$251.19	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $30.20 / $57.54	Professional		$16.98	$30.20	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30
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 $19.95 / $31.62 / $63.10	Professional		$19.95	$31.62	$63.10
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $23.44 / $34.67 / $47.86	Professional	50	$23.44	$34.67	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $42.66 / $74.13	Professional		$21.38	$42.66	$74.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $33.88 / $63.10	Professional		$0.32	$33.88	$63.10
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $22.91 / $42.66	Professional		$0.24	$22.91	$42.66
Select Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $28.84 / $45.71	Professional		$15.14	$28.84	$45.71
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 $19.50 / $37.15 / $64.57	Professional		$19.50	$37.15	$64.57