Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $2,238.72 / $5,011.87	Facility		$112.20	$2,238.72	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $107.15 / $223.87	Professional		$52.48	$107.15	$223.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $44.67 / $120.23	Professional		$42.66	$44.67	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.10 / $245.47	Professional		$57.54	$87.10	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $109.65 / $190.55	Professional		$58.88	$109.65	$190.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $97.72 / $204.17	Professional		$1.20	$97.72	$204.17
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.89 / $72.44 / $186.21	Professional		$0.89	$72.44	$186.21
Select Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $125.89 / $724.44	Professional		$47.86	$125.89	$724.44
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 $56.23 / $109.65 / $194.98	Professional		$56.23	$109.65	$194.98