Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $4,466.84 / $10,232.93	Facility		$123.03	$4,466.84	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $123.03 / $199.53	Professional		$104.71	$123.03	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $9,332.54 / $10,964.78	Facility		$5,370.32	$9,332.54	$10,964.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $245.47	Professional		$102.33	$147.91	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $223.87	Professional		$109.65	$151.36	$223.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $104.71 / $151.36	Professional		$2.57	$104.71	$151.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $151.36	Professional		$2.24	$2.24	$151.36
Select Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $208.93	Professional		$100.00	$100.00	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,905.46 / $6,606.93	Facility		$776.25	$1,905.46	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $229.09	Professional		$104.71	$144.54	$229.09