Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $4,365.16 / $10,232.93	Facility		$39.81	$4,365.16	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $70.79 / $154.88	Professional		$38.90	$70.79	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
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 $45.71 / $77.62 / $125.89	Professional		$45.71	$77.62	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $66.07 / $114.82	Professional		$38.90	$66.07	$114.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $69.18 / $128.82	Professional		$0.36	$69.18	$128.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $53.70 / $114.82	Professional		$0.24	$53.70	$114.82
Select Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $72.44 / $77.62	Professional		$35.48	$72.44	$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 $41.69 / $72.44 / $114.82	Professional		$41.69	$72.44	$114.82