Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,089.30 / $5,011.87	Facility		$758.58	$2,089.30	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $281.84 / $380.19	Professional		$67.61	$281.84	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $70.79 / $89.13	Professional		$64.57	$70.79	$89.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $8,128.31 / $10,000.00	Facility		$4,677.35	$8,128.31	$10,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $102.33 / $158.49	Professional		$79.43	$102.33	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $87.10 / $131.83	Professional		$43.65	$87.10	$131.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $74.13 / $112.20	Professional		$2.82	$74.13	$112.20
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $95.50	Professional		$2.40	$2.40	$95.50
Select Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $70.79	Professional		$63.10	$63.10	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,570.40 / $6,606.93	Facility		$1,071.52	$2,570.40	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $91.20 / $131.83	Professional		$67.61	$91.20	$131.83