Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $2,137.96 / $5,011.87	Facility		$50.12	$2,137.96	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $61.66 / $194.98	Professional		$40.74	$61.66	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $32.36 / $58.88	Professional		$8.51	$32.36	$58.88
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 $37.15 / $40.74 / $81.28	Professional		$37.15	$40.74	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $67.61 / $251.19	Professional		$42.66	$67.61	$251.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $64.57 / $112.20	Professional		$33.88	$64.57	$112.20
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.48 / $56.23 / $95.50	Professional		$0.48	$56.23	$95.50
Select Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $63.10 / $63.10	Professional		$37.15	$63.10	$63.10
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 $40.74 / $57.54 / $95.50	Professional		$40.74	$57.54	$95.50