Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $4,365.16 / $10,232.93	Facility		$70.79	$4,365.16	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $125.89 / $281.84	Professional		$66.07	$125.89	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $97.72 / $134.90	Professional		$85.11	$97.72	$134.90
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 $77.62 / $125.89 / $181.97	Professional		$77.62	$125.89	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $112.20 / $177.83	Professional		$64.57	$112.20	$177.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $117.49 / $186.21	Professional		$61.66	$117.49	$186.21
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $177.83	Professional		$83.18	$120.23	$177.83
Select Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $120.23 / $229.09	Professional		$54.95	$120.23	$229.09
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 $67.61 / $117.49 / $190.55	Professional		$67.61	$117.49	$190.55