Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,137.96 / $5,011.87	Facility		$602.56	$2,137.96	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $144.54 / $263.03	Professional		$102.33	$144.54	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $125.89 / $257.04	Professional		$77.62	$125.89	$257.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,073.80 / $5,888.44	Facility		$3,388.44	$4,073.80	$5,888.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $251.19	Professional		$95.50	$141.25	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $154.88 / $223.87	Professional		$104.71	$154.88	$223.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $269.15	Professional		$123.03	$177.83	$269.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $181.97 / $257.04	Professional		$169.82	$181.97	$257.04
Select Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $173.78 / $239.88	Professional		$114.82	$173.78	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,995.26 / $6,309.57	Facility		$724.44	$1,995.26	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $251.19	Professional		$109.65	$154.88	$251.19