Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $1,862.09 / $5,011.87	Facility		$89.13	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $58.88 / $239.88	Professional		$42.66	$58.88	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $38.02 / $81.28	Professional		$20.89	$38.02	$81.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $5,128.61 / $12,589.25	Facility		$3,235.94	$5,128.61	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $64.57 / $87.10	Professional		$45.71	$64.57	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $67.61 / $109.65	Professional		$41.69	$67.61	$109.65
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $52.48 / $70.79	Professional		$0.78	$52.48	$70.79
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $0.66 / $60.26	Professional		$0.66	$0.66	$60.26
Select Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,288.25 / $10,000.00	Facility		$199.53	$1,288.25	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $60.26 / $81.28	Professional		$43.65	$60.26	$81.28