Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,698.24 / $5,011.87	Facility		$407.38	$1,698.24	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $123.03 / $478.63	Professional		$85.11	$123.03	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $147.91	Professional		$77.62	$91.20	$147.91
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 $77.62 / $112.20 / $194.98	Professional		$77.62	$112.20	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $117.49 / $186.21	Professional		$83.18	$117.49	$186.21
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $141.25 / $204.17	Professional		$89.13	$141.25	$204.17
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $194.98	Professional		$134.90	$134.90	$194.98
Select Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $131.83 / $186.21	Professional		$91.20	$131.83	$186.21
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 $87.10 / $123.03 / $194.98	Professional		$87.10	$123.03	$194.98