Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $2,089.30 / $5,011.87	Facility		$162.18	$2,089.30	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $158.49 / $257.04	Professional		$61.66	$158.49	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $112.20 / $131.83	Professional		$107.15	$112.20	$131.83
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 $64.57 / $151.36 / $234.42	Professional		$64.57	$151.36	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $138.04 / $245.47	Professional		$57.54	$138.04	$245.47
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $138.04 / $213.80	Professional		$0.65	$138.04	$213.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.50 / $61.66 / $208.93	Professional		$0.50	$61.66	$208.93
Select Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $138.04 / $229.09	Professional		$40.74	$138.04	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $134.90 / $245.47	Professional		$63.10	$134.90	$245.47