Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $1,862.09 / $5,011.87	Facility		$117.49	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $112.20 / $309.03	Professional		$67.61	$112.20	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $117.49 / $123.03	Professional		$53.70	$117.49	$123.03
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 $61.66 / $100.00 / $190.55	Professional		$61.66	$100.00	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $177.83	Professional		$72.44	$109.65	$177.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $128.82 / $199.53	Professional		$83.18	$128.82	$199.53
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $190.55	Professional		$114.82	$147.91	$190.55
Select Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $128.82 / $181.97	Professional		$75.86	$128.82	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,584.89 / $4,786.30	Facility		$407.38	$1,584.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $112.20 / $190.55	Professional		$69.18	$112.20	$190.55