Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $1,698.24 / $5,011.87	Facility		$77.62	$1,698.24	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $95.50 / $416.87	Professional		$30.90	$95.50	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $67.61 / $75.86	Professional		$28.18	$67.61	$75.86
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 $36.31 / $75.86 / $125.89	Professional		$36.31	$75.86	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $75.86 / $125.89	Professional		$34.67	$75.86	$125.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $77.62 / $125.89	Professional		$29.51	$77.62	$125.89
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $89.13 / $117.49	Professional		$38.90	$89.13	$117.49
Select Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $77.62 / $77.62	Professional		$25.70	$77.62	$77.62
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 $33.11 / $74.13 / $128.82	Professional		$33.11	$74.13	$128.82